Whalio Doctors

NPI 1124132030

People of Potential, INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Jacksonville, NC

Practice location

Address
113 Courtland Dr, Jacksonville, NC 28546-6017
Phone
(910) 265-1756
Fax
(910) 265-1756

Authorised official

Name
Dawn L McCullen
Title
Director
Phone
(910) 265-1756

Registered specialties (4)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X
Case Management Agency
Agencies Taxonomy 251B00000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X
Mental Illness Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1124132030
Entity type
Organization
NPI issued
18 Aug 2006
Record last updated
21 Nov 2012

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.