Brushy Mountain Group Homes, INC
NPI #1205940129 in North Wilkesboro, North Carolina
Provider Information
- NPI Number
- 1205940129
- Entity Type
- Organization
- Organization Name
- Brushy Mountain Group Homes, INC
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Aug 18, 2006
- Last Updated
- Jun 19, 2008
Practice Location
- Address
- 179 HOLLY BROOK ST
- City
- North Wilkesboro
- State
- North Carolina
- ZIP Code
- 28659-8754
- Phone
- (336) 670-9352
Authorized Official
- Name
- MRS. SHELLEY DARLENE GAMBLE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (336) 838-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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