NPI 1245418052

Johnson Center II

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Red Springs, NC

Practice location

Address: 111 Taylor St, Red Springs, NC 28377-1918
Phone: (910) 843-7007
Fax: (910) 843-7008
Mailing address: PO Box 844, Red Springs, NC 28377-0844

Authorised official

Name: Shelia Ferguston
Title: Executive Director
Phone: (910) 843-7007

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence MHL078197 (NC)

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

Registry record

NPI: 1245418052
Entity type: Organization
NPI issued: 4 Feb 2008
Record last updated: 4 Feb 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.