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Vince Marley Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Burlington, North Carolina
NPI 1134541758

Vince Marley Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Burlington, NC. Vince Marley Llc practices in Burlington, NC. The NPI Number for Vince Marley Llc is 1134541758 and holds a License No. MHL-001-161 (North Carolina).

The current practice location address for Vince Marley Llc is 219 Albany St, Burlington, NC and can be reached out via phone at 336-226-4103 and via fax at 336-226-5547.

Location: 219 Albany St, Burlington, NC, 27215-7249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134541758
Provider Name
Vince Marley Llc
Credential
Provider Entity Type
Organization
Address
219 Albany St, Burlington, NC, 27215-7249
Phone Number
336-226-4103
Fax Number
336-226-5547
Provider Enumeration Date
01/16/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6604344 05 NC
institution
Provider Business Practice Location Address Details
Address
219 Albany St
City
Burlington
State
North Carolina
Zip
27215-7249
Phone Number
336-226-4103
Fax Number
336-226-5547
person
Provider Business Mailing Address Details
Address
219 Albany St
City
Burlington
State
North Carolina
Zip
27215-7249
Phone Number
336-226-4103
Fax Number
336-226-5547
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL-001-161 (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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