Organization
BYNUM'S PLACE LLC
Active
Other names
Bynum's Place
Organization subpart
No
Provider details
NPI number
Authorized official
MOORE BYNUM (OWNER)
(252) 915-9174
Entity
Organization
Contact information
Practice address
131 BYNUM'S PLACE, NORLINA, NC 27563-9139
(252) 257-0149
(252) 257-2307
Mailing address
131 BYNUM'S PLACE, NORLINA, NC 27563-9139
(252) 257-0149
(252) 257-2307
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL093037
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031264
FACILITY ID
NC
Enumeration date
02/13/2007
Last updated
08/22/2020
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