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Wayne County Family Life Residential Home
Emotionally Disturbed Childrens' Residential Treatment Facility in Goldsboro, North Carolina
NPI 1134226608

Wayne County Family Life Residential Home is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Goldsboro, NC. Wayne County Family Life Residential Home practices in Goldsboro, NC. The NPI Number for Wayne County Family Life Residential Home is 1134226608 and holds a License No. MHL-096-177 (North Carolina).

The current practice location address for Wayne County Family Life Residential Home is 514 Forest Hill Dr., Goldsboro, NC and can be reached out via phone at 919-736-9605. You can also correspond with Wayne County Family Life Residential Home through the mailing address at 200 PERRY DR., GOLDSBORO, NC - 27530 (mailing address contact number: 919-734-0617).

Location: 514 Forest Hill Dr., Goldsboro, NC, 27530
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134226608
Provider Name
Wayne County Family Life Residential Home
Credential
Provider Entity Type
Organization
Address
514 Forest Hill Dr., Goldsboro, NC, 27530
Phone Number
919-736-9605
Fax Number
Provider Enumeration Date
09/19/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
MHL-096-177 01 NC 1300- LEVEL II GROUP HOME
institution
Provider Business Practice Location Address Details
Address
514 Forest Hill Dr.
City
Goldsboro
State
North Carolina
Zip
27533-0296
Phone Number
919-736-9605
Fax Number
person
Provider Business Mailing Address Details
Address
514 Forest Hill Dr.
City
Goldsboro
State
North Carolina
Zip
27533-0296
Phone Number
919-736-9605
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL-096-177 (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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