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Creolia's House Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Eden, North Carolina
NPI 1235311994

Creolia's House Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Reidsville, NC. Creolia's House Llc practices in Eden, NC. The NPI Number for Creolia's House Llc is 1235311994 and holds a License No. (North Carolina).

The current practice location address for Creolia's House Llc is 627 Lake St, Eden, NC and can be reached out via phone at 336-635-4999 and via fax at 336-635-4999.

Location: 627 Lake St, Eden, NC, 27320-1631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235311994
Provider Name
Creolia's House Llc
Credential
Provider Entity Type
Organization
Address
627 Lake St, Eden, NC, 27320-1631
Phone Number
336-635-4999
Fax Number
336-635-4999
Provider Enumeration Date
12/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
627 Lake St
City
Eden
State
North Carolina
Zip
27288-4323
Phone Number
336-635-4999
Fax Number
336-635-4999
person
Provider Business Mailing Address Details
Address
627 Lake St
City
Eden
State
North Carolina
Zip
27288-4323
Phone Number
336-635-4999
Fax Number
336-635-4999
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
(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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