Whalio Doctors

NPI 1033243761

Lewis Treatment Facility

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Roseboro, NC

Practice location

Address
116 Marion-Amos Road, Roseboro, NC 28382
Phone
(910) 525-3144
Mailing address
6183 Timberland Dr, Fayetteville, NC 28314-2185

Authorised official

Name
Gale Valencia Ray
Title
Director
Phone
(910) 261-4553

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence MHL-082-050 (NC)

Registry record

NPI
1033243761
Entity type
Organization
NPI issued
15 Mar 2007
Record last updated
22 Aug 2020

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.