Mary's Home
NPI #1215338231 in Wilson, North Carolina
Provider Information
- NPI Number
- 1215338231
- Entity Type
- Organization
- Organization Name
- Mary's Home
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Sep 9, 2014
- Last Updated
- Sep 9, 2014
Practice Location
- Address
- 1808 BIRCHWOOD DR SE
- City
- Wilson
- State
- North Carolina
- ZIP Code
- 27893-6476
- Phone
- (252) 347-9705
Authorized Official
- Name
- MS. DOMINIQUE TIARRA JONES, CNA MED TECH,
- Title
- OWNER AND DIRECTOR
- Phone
- (252) 347-9705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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