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
- City
- Youngsville
- State
- North Carolina
- 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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