Eason Court Group Home LLC #2

NPI #1003353475 in Youngsville, North Carolina

Provider Information

NPI Number
1003353475
Entity Type
Organization
Organization Name
Eason Court Group Home LLC #2
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
Jan 24, 2017
Last Updated
Jan 24, 2017

Practice Location

Address
124 GREGORY MNR
ZIP Code
27596-9614
Phone
(919) 556-5355

Authorized Official

Name
SONJA DENISE WILLIAMS
Title
ASSISTANT DIRECTOR
Phone
(571) 288-4144

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Mental Illness

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