The Door of Life Residential Services

NPI #1285826503 in Cameron, North Carolina

Provider Information

NPI Number
1285826503
Entity Type
Organization
Organization Name
The Door of Life Residential Services
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Aug 10, 2007
Last Updated
Aug 10, 2007

Practice Location

Address
227 CONSTITUTION WAY
ZIP Code
28326-9296
Phone
(919) 499-2419

Authorized Official

Name
HARVEY CAMPBELL
Title
CEO
Phone
(336) 420-3195

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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