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Potter's House Outreach Corporation
Emotionally Disturbed Childrens' Residential Treatment Facility in Raeford, North Carolina
NPI 1568622009

Potter's House Outreach Corporation is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Fayetteville, NC. Potter's House Outreach Corporation practices in Raeford, NC. The NPI Number for Potter's House Outreach Corporation is 1568622009 and holds a License No. MHL047074 (North Carolina).

The current practice location address for Potter's House Outreach Corporation is 105 Harvest Ln, Raeford, NC and can be reached out via phone at 910-904-5791 and via fax at 910-904-6791.

Location: 105 Harvest Ln, Raeford, NC, 28314-5017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568622009
Provider Name
Potter's House Outreach Corporation
Credential
Provider Entity Type
Organization
Address
105 Harvest Ln, Raeford, NC, 28314-5017
Phone Number
910-904-5791
Fax Number
910-904-6791
Provider Enumeration Date
06/09/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
105 Harvest Ln
City
Raeford
State
North Carolina
Zip
28376-6516
Phone Number
910-904-5791
Fax Number
910-904-6791
person
Provider Business Mailing Address Details
Address
105 Harvest Ln
City
Raeford
State
North Carolina
Zip
28376-6516
Phone Number
910-904-5791
Fax Number
910-904-6791
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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