person
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. You can also correspond with William Tyrone Madden through the mailing address at 344 TRIBUTARY CIR, WILMINGTON, NC - 28401-7030 (mailing address contact number: 336-303-5522).

Location: 344 Tributary Cir, Wilmington, NC, 28401-7030
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
State
Zip
28401-7030
Phone Number
336-303-5522
Fax Number
person
Provider Business Mailing Address Details
Address
344 Tributary Cir
City
State
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
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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