institution
Living Waters Group Home
Emotionally Disturbed Childrens' Residential Treatment Facility in Fayetteville, North Carolina
NPI 1447390042

Living Waters Group Home is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Fayetteville, NC. Living Waters Group Home practices in Fayetteville, NC. The NPI Number for Living Waters Group Home is 1447390042 and holds a License No. MHL 026-796 (North Carolina).

The current practice location address for Living Waters Group Home is 1609 Sweetgum Cir, Fayetteville, NC and can be reached out via phone at 910-867-3279.

Location: 1609 Sweetgum Cir, Fayetteville, NC, 28314-8419
institution
Provider Profile Details
NPI Number
1447390042
Provider Name
Living Waters Group Home
Credential
Provider Entity Type
Organization
Address
1609 Sweetgum Cir, Fayetteville, NC, 28314-8419
Phone Number
910-867-3279
Fax Number
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6603850 05 NC
institution
Provider Business Practice Location Address Details
Address
1609 Sweetgum Cir
City
State
Zip
28304-2707
Phone Number
910-867-3279
Fax Number
person
Provider Business Mailing Address Details
Address
1609 Sweetgum Cir
City
State
Zip
28304-2707
Phone Number
910-867-3279
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
MHL 026-796 (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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