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William Tyrone Madden
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wilmington, North Carolina
NPI 1801667217

William Tyrone Madden is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Wilmington, NC. William Tyrone Madden practices in Wilmington, NC. The NPI Number for William Tyrone Madden is 1801667217 and holds a License No. (North Carolina).

The current practice location address for William Tyrone Madden is 344 Tributary Cir, Wilmington, NC and can be reached out via phone at 336-303-5522.

Location: 344 Tributary Cir, Wilmington, NC, 28401-7030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801667217
Provider Name
William Tyrone Madden
Credential
Provider Entity Type
Individual
Gender
Male
Address
344 Tributary Cir, Wilmington, NC, 28401-7030
Phone Number
336-303-5522
Fax Number
Provider Enumeration Date
01/15/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
344 Tributary Cir
City
Wilmington
State
North Carolina
Zip
28401-7030
Phone Number
336-303-5522
Fax Number
person
Provider Business Mailing Address Details
Address
344 Tributary Cir
City
Wilmington
State
North Carolina
Zip
28401-7030
Phone Number
336-303-5522
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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