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Mims Manor Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Wilmington, North Carolina
NPI 1801950191

Mims Manor Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Fayetteville, NC. Mims Manor Llc practices in Wilmington, NC. The NPI Number for Mims Manor Llc is 1801950191 and holds a License No. MHL065170 (North Carolina).

The current practice location address for Mims Manor Llc is 621 Plymouth Dr, Wilmington, NC and can be reached out via phone at 910-796-9040.

Location: 621 Plymouth Dr, Wilmington, NC, 28306-9790
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801950191
Provider Name
Mims Manor Llc
Credential
Provider Entity Type
Organization
Address
621 Plymouth Dr, Wilmington, NC, 28306-9790
Phone Number
910-796-9040
Fax Number
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
621 Plymouth Dr
City
Wilmington
State
North Carolina
Zip
28405-2544
Phone Number
910-796-9040
Fax Number
person
Provider Business Mailing Address Details
Address
621 Plymouth Dr
City
Wilmington
State
North Carolina
Zip
28405-2544
Phone Number
910-796-9040
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL065170 (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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