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Mr. James Edward Mciver JR.
Emotionally Disturbed Childrens' Residential Treatment Facility in Jacksonville, North Carolina
NPI 1124172986

James Edward Mciver JR. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Jacksonville, NC. James Edward Mciver JR. practices in Jacksonville, NC. The NPI Number for James Edward Mciver JR. is 1124172986 and holds a License No. MHL-067-142 (North Carolina).

The current practice location address for James Edward Mciver JR. is 141 Thomas Humphrey Rd, Jacksonville, NC and can be reached out via phone at 910-347-5218 and via fax at 910-346-0957.

Location: 141 Thomas Humphrey Rd, Jacksonville, NC, 28546-2364
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124172986
Provider Name
James Edward Mciver JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
141 Thomas Humphrey Rd, Jacksonville, NC, 28546-2364
Phone Number
910-347-5218
Fax Number
910-346-0957
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6603585 05 NC
8301087B 05 NC
6603978 05 NC
institution
Provider Business Practice Location Address Details
Address
141 Thomas Humphrey Rd
City
Jacksonville
State
North Carolina
Zip
28546-6205
Phone Number
910-347-5218
Fax Number
910-346-0957
person
Provider Business Mailing Address Details
Address
141 Thomas Humphrey Rd
City
Jacksonville
State
North Carolina
Zip
28546-6205
Phone Number
910-347-5218
Fax Number
910-346-0957
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL-067-142 (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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