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Mr. Moore Bynum
Emotionally Disturbed Childrens' Residential Treatment Facility in Rocky Mount, North Carolina
NPI 1265619274

Moore Bynum is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Norlina, NC. Moore Bynum practices in Rocky Mount, NC. The NPI Number for Moore Bynum is 1265619274 and holds a License No. MHL-033-054 (North Carolina).

The current practice location address for Moore Bynum is 518 Arlington St, Rocky Mount, NC and can be reached out via phone at 252-446-2082. You can also correspond with Moore Bynum through the mailing address at 131 BYNUM PL, NORLINA, NC - 27563-9139 (mailing address contact number: 252-257-2307).

Location: 518 Arlington St, Rocky Mount, NC, 27563-9139
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265619274
Provider Name
Moore Bynum
Credential
Provider Entity Type
Individual
Gender
Male
Address
518 Arlington St, Rocky Mount, NC, 27563-9139
Phone Number
252-446-2082
Fax Number
Provider Enumeration Date
01/22/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
518 Arlington St
City
Rocky Mount
State
North Carolina
Zip
27801-5657
Phone Number
252-446-2082
Fax Number
person
Provider Business Mailing Address Details
Address
518 Arlington St
City
Rocky Mount
State
North Carolina
Zip
27801-5657
Phone Number
252-446-2082
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-033-054 (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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