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Mr. Vince Marley
Emotionally Disturbed Childrens' Residential Treatment Facility in Burlington, North Carolina
NPI 1477709434

Vince Marley is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Randleman, NC. Vince Marley practices in Burlington, NC. The NPI Number for Vince Marley is 1477709434 and holds a License No. MHL-001-161 (North Carolina).

The current practice location address for Vince Marley is 219 Albany St, Burlington, NC and can be reached out via phone at 336-226-9716 and via fax at 336-226-9716.

Location: 219 Albany St, Burlington, NC, 27317-0163
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477709434
Provider Name
Vince Marley
Credential
Provider Entity Type
Individual
Gender
Male
Address
219 Albany St, Burlington, NC, 27317-0163
Phone Number
336-226-9716
Fax Number
336-226-9716
Provider Enumeration Date
08/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
219 Albany St
City
Burlington
State
North Carolina
Zip
27215-7249
Phone Number
336-226-9716
Fax Number
336-226-9716
person
Provider Business Mailing Address Details
Address
219 Albany St
City
Burlington
State
North Carolina
Zip
27215-7249
Phone Number
336-226-9716
Fax Number
336-226-9716
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL-001-161 (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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