NPI 1124182415

The M Co. LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Fayetteville, NC

Practice location

Address: 6576 Cliffdale Rd, Fayetteville, NC 28314-2047
Phone: (910) 764-0954
Mailing address: 3020 Brookcrossing Dr Village at Lakewood, Fayetteville, NC 28306-9790

Authorised official

Name: Terry Mims
Title: Owner
Phone: (910) 273-5838

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence MHL026669 (NC)

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

Registry record

NPI: 1124182415
Entity type: Organization
NPI issued: 20 Dec 2006
Record last updated: 10 Jul 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.