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My Friend's House, Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Wilson, North Carolina
NPI 1164662466

My Friend's House, Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Wilson, NC. My Friend's House, Llc practices in Wilson, NC. The NPI Number for My Friend's House, Llc is 1164662466 and holds a License No. (North Carolina).

The current practice location address for My Friend's House, Llc is 3607 Columbia Avenue, Wilson, NC and can be reached out via phone at 252-206-7408 and via fax at 312-324-0677.

Location: 3607 Columbia Avenue, Wilson, NC, 27896
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164662466
Provider Name
My Friend's House, Llc
Credential
Provider Entity Type
Organization
Address
3607 Columbia Avenue, Wilson, NC, 27896
Phone Number
252-206-7408
Fax Number
312-324-0677
Provider Enumeration Date
02/26/2009
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
3607 Columbia Avenue
City
Wilson
State
North Carolina
Zip
27896
Phone Number
252-206-7408
Fax Number
312-324-0677
person
Provider Business Mailing Address Details
Address
3607 Columbia Avenue
City
Wilson
State
North Carolina
Zip
27896
Phone Number
252-206-7408
Fax Number
312-324-0677
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
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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