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Potters House Outreach Corporation
Emotionally Disturbed Childrens' Residential Treatment Facility in Raeford, North Carolina
NPI 1568552982

Potters House Outreach Corporation is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Fayetteville, NC. Potters House Outreach Corporation practices in Raeford, NC. The NPI Number for Potters House Outreach Corporation is 1568552982 and holds a License No. MHL047074 (North Carolina).

The current practice location address for Potters House Outreach Corporation is 105 Harvest Lane, Raeford, NC and can be reached out via phone at 910-904-1844 and via fax at 910-867-7731.

Location: 105 Harvest Lane, Raeford, NC, 28314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568552982
Provider Name
Potters House Outreach Corporation
Credential
Provider Entity Type
Organization
Address
105 Harvest Lane, Raeford, NC, 28314
Phone Number
910-904-1844
Fax Number
910-867-7731
Provider Enumeration Date
10/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6603637 05 NC
institution
Provider Business Practice Location Address Details
Address
105 Harvest Lane
City
Raeford
State
North Carolina
Zip
28376
Phone Number
910-904-1844
Fax Number
910-867-7731
person
Provider Business Mailing Address Details
Address
105 Harvest Lane
City
Raeford
State
North Carolina
Zip
28376
Phone Number
910-904-1844
Fax Number
910-867-7731
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL047074 (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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