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The John Oliver Center #3
Emotionally Disturbed Childrens' Residential Treatment Facility in Dudley, North Carolina
NPI 1720285562

The John Oliver Center #3 is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Goldsboro, NC. The John Oliver Center #3 practices in Dudley, NC. The NPI Number for The John Oliver Center #3 is 1720285562 and holds a License No. MHL096140 (North Carolina).

The current practice location address for The John Oliver Center #3 is 535 Brogden St, Dudley, NC and can be reached out via phone at 919-736-2135 and via fax at 919-735-9745.

Location: 535 Brogden St, Dudley, NC, 27533-1504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720285562
Provider Name
The John Oliver Center #3
Credential
Provider Entity Type
Organization
Address
535 Brogden St, Dudley, NC, 27533-1504
Phone Number
919-736-2135
Fax Number
919-735-9745
Provider Enumeration Date
06/27/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
6603798 05 NC
institution
Provider Business Practice Location Address Details
Address
535 Brogden St
City
Dudley
State
North Carolina
Zip
28333-8187
Phone Number
919-736-2135
Fax Number
919-735-9745
person
Provider Business Mailing Address Details
Address
535 Brogden St
City
Dudley
State
North Carolina
Zip
28333-8187
Phone Number
919-736-2135
Fax Number
919-735-9745
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL096140 (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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