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Mr. Tommy Williams JR., INC
Emotionally Disturbed Childrens' Residential Treatment Facility in Wallace, North Carolina
NPI 1437754967

Tommy Williams JR. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Wallace, NC. Tommy Williams JR. practices in Wallace, NC and has the professional credentials of INC. The NPI Number for Tommy Williams JR. is 1437754967 and holds a License No. (North Carolina).

The current practice location address for Tommy Williams JR. is 1439 Bay Rd, Wallace, NC and can be reached out via phone at 910-441-5415.

Location: 1439 Bay Rd, Wallace, NC, 28466-9530
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437754967
Provider Name
Tommy Williams JR.
Credential
INC
Provider Entity Type
Individual
Gender
Male
Address
1439 Bay Rd, Wallace, NC, 28466-9530
Phone Number
910-441-5415
Fax Number
Provider Enumeration Date
12/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1439 Bay Rd
City
Wallace
State
North Carolina
Zip
28466-9530
Phone Number
910-441-5415
Fax Number
person
Provider Business Mailing Address Details
Address
1439 Bay Rd
City
Wallace
State
North Carolina
Zip
28466-9530
Phone Number
910-441-5415
Fax Number
person
Provider's Taxonomy Details 1
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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