Organization
RIDGE STREET YOUTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED DIXON (ADMINISTRATOR)
(910) 441-8563
Entity
Organization
Contact information
Practice address
103 ASH STREET, ROSE HILL, NC 28458
(910) 289-2422
(910) 289-2734
Mailing address
PO BOX 673, ROSE HILL, NC 28458-0673
(910) 289-2422
(910) 289-2734
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-031-068
NC
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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