NPI 1154560050

Susie's Place

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Burlington, NC

Practice location

Address: 724 Askew St, Burlington, NC 27215-2202
Phone: (336) 380-0772
Fax: (336) 270-6303
Mailing address: PO Box 5144, Burlington, NC 27216-5144

Authorised official

Name: Lorenzo Moore
Title: Manager
Phone: (336) 380-0772

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 3747P1801X (NC)

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

Registry record

NPI: 1154560050
Entity type: Organization
NPI issued: 17 Feb 2009
Record last updated: 17 Feb 2009

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.