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Organization

POSITIVE STEPS RESIDENTIAL SERVICE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM KIRBY POWELL (OWNER/OPERATOR)
(252) 567-3462
Entity
Organization

Contact information

Practice address
464 RIDGEWOOD RD, TARBORO, NC 27886-9066
(252) 567-3462
(252) 823-5618
Mailing address
748 NC HIGHWAY 33 E, TARBORO, NC 27886-8927
(252) 567-3462
(252) 823-5618

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-033-057
NC

Other

Enumeration date
06/20/2008
Last updated
07/09/2008
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