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Mr. Freddie Lee Williams
Emotionally Disturbed Childrens' Residential Treatment Facility in Durham, North Carolina
NPI 1285874909

Freddie Lee Williams is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Research Triangle Park, NC. Freddie Lee Williams practices in Durham, NC. The NPI Number for Freddie Lee Williams is 1285874909 and holds a License No. MHL-032-468 (North Carolina).

The current practice location address for Freddie Lee Williams is 3671 Guess Rd, Durham, NC and can be reached out via phone at 919-251-9821 and via fax at 919-471-3904.

Location: 3671 Guess Rd, Durham, NC, 27709-4281
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285874909
Provider Name
Freddie Lee Williams
Credential
Provider Entity Type
Individual
Gender
Male
Address
3671 Guess Rd, Durham, NC, 27709-4281
Phone Number
919-251-9821
Fax Number
919-471-3904
Provider Enumeration Date
02/21/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6604362 05 NC
institution
Provider Business Practice Location Address Details
Address
3671 Guess Rd
City
Durham
State
North Carolina
Zip
27705-6908
Phone Number
919-251-9821
Fax Number
919-471-3904
person
Provider Business Mailing Address Details
Address
3671 Guess Rd
City
Durham
State
North Carolina
Zip
27705-6908
Phone Number
919-251-9821
Fax Number
919-471-3904
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL-032-468 (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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