person
Mrs. Cynthia Maria Simon
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, North Carolina
NPI 1164630133

Cynthia Maria Simon is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jacksonville, NC. Cynthia Maria Simon practices in Jacksonville, NC. The NPI Number for Cynthia Maria Simon is 1164630133 and holds a License No. MHL067128 (North Carolina).

The current practice location address for Cynthia Maria Simon is 507 Myna Dr, Jacksonville, NC and can be reached out via phone at 910-938-3037.

Location: 507 Myna Dr, Jacksonville, NC, 28540
person
Provider Profile Details
NPI Number
1164630133
Provider Name
Cynthia Maria Simon
Credential
Provider Entity Type
Individual
Gender
Female
Address
507 Myna Dr, Jacksonville, NC, 28540
Phone Number
910-938-3037
Fax Number
Provider Enumeration Date
05/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
507 Myna Dr
City
State
Zip
28540-6924
Phone Number
910-938-3037
Fax Number
person
Provider Business Mailing Address Details
Address
507 Myna Dr
City
State
Zip
28540-6924
Phone Number
910-938-3037
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
MHL067128 (North Carolina)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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