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Senora Woodard
Mental Illness Community Based Residential Treatment Facility in Fuquay Varina, North Carolina
NPI 1912053893

Senora Woodard is a Mental Illness Community Based Residential Treatment Facility based in Fuquay Varina, NC. Senora Woodard practices in Fuquay Varina, NC. The NPI Number for Senora Woodard is 1912053893 and holds a License No. MHL092231 (North Carolina).

The current practice location address for Senora Woodard is 2316 Angier Rd, Fuquay Varina, NC and can be reached out via phone at 919-639-6893 and via fax at 919-639-2913.

Location: 2316 Angier Rd, Fuquay Varina, NC, 27526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912053893
Provider Name
Senora Woodard
Credential
Provider Entity Type
Individual
Gender
Female
Address
2316 Angier Rd, Fuquay Varina, NC, 27526
Phone Number
919-639-6893
Fax Number
919-639-2913
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7803171 05 NC
institution
Provider Business Practice Location Address Details
Address
2316 Angier Rd
City
Fuquay Varina
State
North Carolina
Zip
27526
Phone Number
919-639-6893
Fax Number
919-639-2913
person
Provider Business Mailing Address Details
Address
2316 Angier Rd
City
Fuquay Varina
State
North Carolina
Zip
27526
Phone Number
919-639-6893
Fax Number
919-639-2913
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
MHL092231 (North Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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