NPI 1235311994

Creolia's House LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Eden, NC

Practice location

Address: 627 Lake St, Eden, NC 27288-4323
Phone: (336) 635-4999
Fax: (336) 635-4999
Mailing address: 1074 Candy Creek Rd, Reidsville, NC 27320-1631

Authorised official

Name: Latonya Rice
Title: Director
Phone: (336) 634-0593

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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

Registry record

NPI: 1235311994
Entity type: Organization
NPI issued: 4 Dec 2007
Record last updated: 23 Jun 2008

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.