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Mr. Bobby Eatmon
Emotionally Disturbed Childrens' Residential Treatment Facility in Oxford, North Carolina
NPI 1336276716

Bobby Eatmon is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Oxford, NC. Bobby Eatmon practices in Oxford, NC. The NPI Number for Bobby Eatmon is 1336276716 and holds a License No. MHL039034 (North Carolina).

The current practice location address for Bobby Eatmon is 5019 Dorsey Rd, Oxford, NC and can be reached out via phone at 252-213-1525.

Location: 5019 Dorsey Rd, Oxford, NC, 27565-1558
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336276716
Provider Name
Bobby Eatmon
Credential
Provider Entity Type
Individual
Gender
Male
Address
5019 Dorsey Rd, Oxford, NC, 27565-1558
Phone Number
252-213-1525
Fax Number
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
040968 01 NC FACILITY ID
institution
Provider Business Practice Location Address Details
Address
5019 Dorsey Rd
City
Oxford
State
North Carolina
Zip
27565-8305
Phone Number
252-213-1525
Fax Number
person
Provider Business Mailing Address Details
Address
5019 Dorsey Rd
City
Oxford
State
North Carolina
Zip
27565-8305
Phone Number
252-213-1525
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL039034 (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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