NPI 1003353475

Eason Court Group Home LLC #2

Organisation Mental Illness Community Based Residential Treatment Facility Youngsville, NC

Practice location

Address: 124 Gregory Mnr, Youngsville, NC 27596-9614
Phone: (919) 556-5355
Fax: (866) 285-8824
Mailing address: PO Box 759, Youngsville, NC 27596-0759

Authorised official

Name: Sonja Denise Williams
Title: Assistant Director
Phone: (571) 288-4144

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence MHL 035 050 (NC)

Other Community Based Residential Treatment Facility, Mental Illness providers in North Carolina →

Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X Licence MHL 035 029 (NC)

Registry record

NPI: 1003353475
Entity type: Organization
NPI issued: 24 Jan 2017
Record last updated: 24 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.