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Envisions Of Life, Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Goldsboro, North Carolina
NPI 1972700763

Envisions Of Life, Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Greensboro, NC. Envisions Of Life, Llc practices in Goldsboro, NC. The NPI Number for Envisions Of Life, Llc is 1972700763 and holds a License No. MHL 041 179 (North Carolina).

The current practice location address for Envisions Of Life, Llc is 420 Gulley St, Goldsboro, NC and can be reached out via phone at 336-887-0708 and via fax at 336-887-1085.

Location: 420 Gulley St, Goldsboro, NC, 27409-2073
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972700763
Provider Name
Envisions Of Life, Llc
Credential
Provider Entity Type
Organization
Address
420 Gulley St, Goldsboro, NC, 27409-2073
Phone Number
336-887-0708
Fax Number
336-887-1085
Provider Enumeration Date
06/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6604062 05 NC
institution
Provider Business Practice Location Address Details
Address
420 Gulley St
City
Goldsboro
State
North Carolina
Zip
27530-5045
Phone Number
336-887-0708
Fax Number
336-887-1085
person
Provider Business Mailing Address Details
Address
420 Gulley St
City
Goldsboro
State
North Carolina
Zip
27530-5045
Phone Number
336-887-0708
Fax Number
336-887-1085
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL 041 179 (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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