NPI 1013100031

Redeem House, LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Burlington, NC

Practice location

Address: 2711 Maple Ave, Burlington, NC 27215-7117
Phone: (336) 570-6967

Authorised official

Name: London Correl Davis
Title: Member/Manager
Phone: (336) 570-6967

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence MHL-001-146 (NC)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in North Carolina →

Registry record

NPI: 1013100031
Entity type: Organization
NPI issued: 22 Aug 2007
Record last updated: 22 Aug 2007

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.