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Eason Court Group Home Llc #2
Mental Illness Community Based Residential Treatment Facility in Youngsville, North Carolina
NPI 1003353475

Eason Court Group Home Llc #2 is a Mental Illness Community Based Residential Treatment Facility based in Youngsville, NC. Eason Court Group Home Llc #2 practices in Youngsville, NC. The NPI Number for Eason Court Group Home Llc #2 is 1003353475 and holds a License No. MHL 035 050 (North Carolina).

The current practice location address for Eason Court Group Home Llc #2 is 124 Gregory Mnr, Youngsville, NC and can be reached out via phone at 919-556-5355 and via fax at 866-285-8824.

Location: 124 Gregory Mnr, Youngsville, NC, 27596-0759
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003353475
Provider Name
Eason Court Group Home Llc #2
Credential
Provider Entity Type
Organization
Address
124 Gregory Mnr, Youngsville, NC, 27596-0759
Phone Number
919-556-5355
Fax Number
866-285-8824
Provider Enumeration Date
01/24/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7804575 05 NC
institution
Provider Business Practice Location Address Details
Address
124 Gregory Mnr
City
Youngsville
State
North Carolina
Zip
27596-9614
Phone Number
919-556-5355
Fax Number
866-285-8824
person
Provider Business Mailing Address Details
Address
124 Gregory Mnr
City
Youngsville
State
North Carolina
Zip
27596-9614
Phone Number
919-556-5355
Fax Number
866-285-8824
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
MHL 035 050 (North Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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