institution
Dwayne's Extended Family Services, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Greensboro, North Carolina
NPI 1831256858

Dwayne's Extended Family Services, Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Jamestown, NC. Dwayne's Extended Family Services, Inc. practices in Greensboro, NC. The NPI Number for Dwayne's Extended Family Services, Inc. is 1831256858 and holds a License No. MHL-041-627 (North Carolina).

The current practice location address for Dwayne's Extended Family Services, Inc. is 1421 Walnut St, Greensboro, NC and can be reached out via phone at 336-638-3494 and via fax at 336-638-3494. You can also correspond with Dwayne's Extended Family Services, Inc. through the mailing address at 1215 BALES CHAPEL RD, JAMESTOWN, NC - 27282-9149 (mailing address contact number: 336-638-3494).

Location: 1421 Walnut St, Greensboro, NC, 27282-9149
institution
Provider Profile Details
NPI Number
1831256858
Provider Name
Dwayne's Extended Family Services, Inc.
Credential
Provider Entity Type
Organization
Address
1421 Walnut St, Greensboro, NC, 27282-9149
Phone Number
336-638-3494
Fax Number
336-638-3494
Provider Enumeration Date
01/02/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1421 Walnut St
City
State
Zip
27405-6648
Phone Number
336-638-3494
Fax Number
336-638-3494
person
Provider Business Mailing Address Details
Address
1421 Walnut St
City
State
Zip
27405-6648
Phone Number
336-638-3494
Fax Number
336-638-3494
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
MHL-041-627 (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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