Whalio Doctors

NPI 1053495523

Trinity Will Group

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Roseboro, NC

Practice location

Address
140 Faulkner Ln, Roseboro, NC 28382-5415
Phone
(910) 525-5035
Fax
(910) 525-5065
Mailing address
PO Box 618, Clinton, NC 28329-0618

Authorised official

Name
Shirley Melinda Williams
Title
Executive Director
Phone
(910) 525-5035

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence MHL082046 (NC)

Registry record

NPI
1053495523
Entity type
Organization
NPI issued
24 Oct 2006
Record last updated
2 Jan 2008

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.