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Bynum's-way Adolescent Treatment Home
Emotionally Disturbed Childrens' Residential Treatment Facility in Roxboro, North Carolina
NPI 1114157989

Bynum's-way Adolescent Treatment Home is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Roxboro, NC. Bynum's-way Adolescent Treatment Home practices in Roxboro, NC. The NPI Number for Bynum's-way Adolescent Treatment Home is 1114157989 and holds a License No. 073055 (North Carolina).

The current practice location address for Bynum's-way Adolescent Treatment Home is 4700 Virgilina Rd, Roxboro, NC and can be reached out via phone at 336-592-5625 and via fax at 919-550-2648.

Location: 4700 Virgilina Rd, Roxboro, NC, 27574-8307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114157989
Provider Name
Bynum's-way Adolescent Treatment Home
Credential
Provider Entity Type
Organization
Address
4700 Virgilina Rd, Roxboro, NC, 27574-8307
Phone Number
336-592-5625
Fax Number
919-550-2648
Provider Enumeration Date
07/15/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
073055 01 NC MENTAL HEALTH LICENSE
institution
Provider Business Practice Location Address Details
Address
4700 Virgilina Rd
City
Roxboro
State
North Carolina
Zip
27574-8307
Phone Number
336-592-5625
Fax Number
919-550-2648
person
Provider Business Mailing Address Details
Address
4700 Virgilina Rd
City
Roxboro
State
North Carolina
Zip
27574-8307
Phone Number
336-592-5625
Fax Number
919-550-2648
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
073055 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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