Organization
MELVIN AND JOHNSON COMMUNITY LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. APRIL CHECRECE JOHNSON (OWNER)
(910) 818-8797
Entity
Organization
Contact information
Practice address
169 FRONT ST, RED SPRINGS, NC 28377-1713
(910) 843-3659
(910) 843-3659
Mailing address
PO BOX 851, RED SPRINGS, NC 28377-0851
(910) 843-3659
(910) 843-3659
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-078-195
NC
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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