The Door of Life Residential Services
NPI #1265564314 in Cameron, North Carolina
Provider Information
- NPI Number
- 1265564314
- Entity Type
- Organization
- Organization Name
- The Door of Life Residential Services
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Mar 12, 2007
- Last Updated
- Jun 24, 2008
Practice Location
- Address
- 227 CONSTITUTION WAY
- City
- Cameron
- State
- North Carolina
- ZIP Code
- 28326-9296
- Phone
- (336) 420-3195
Authorized Official
- Name
- MR. HARVEY W CAMPBELL
- Title
- CEO
- Phone
- (336) 420-3195
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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