Whalio Doctors

NPI 1134541758

Vince Marley LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Burlington, NC

Practice location

Address
219 Albany St, Burlington, NC 27215-7249
Phone
(336) 226-4103
Fax
(336) 226-5547

Authorised official

Name
Vincent Marley
Title
Director
Phone
(336) 226-4103

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence MHL-001-161 (NC)

Registry record

NPI
1134541758
Entity type
Organization
NPI issued
16 Jan 2014
Record last updated
16 Jan 2014

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.