NPI 1053636290

A Voice of My Own Therapeutic Services

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Raleigh, NC

Practice location

Address: 1000 Cookwood CT, Raleigh, NC 27610-6072
Phone: (919) 400-9711
Fax: (910) 425-1445

Authorised official

Name: Amelia Bennett
Title: Director
Phone: (910) 425-1445

Registered specialties (4)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

Child Intellectual and/or Developmental Disabilities Respite Care

Respite Care Facility Taxonomy 385HR2060X

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Registry record

NPI: 1053636290
Entity type: Organization
NPI issued: 31 Mar 2010
Record last updated: 31 Mar 2010

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.