NPI 1285931139

Dutchess One

Organisation Mental Illness Community Based Residential Treatment Facility Cary, NC

Practice location

Address: 1613 Burnley Dr, Cary, NC 27511-5004
Phone: (919) 521-8112

Authorised official

Name: Demetrius Tiller
Title: Owner
Phone: (919) 521-8112

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence MHL-092-785 (NC)

Other Community Based Residential Treatment Facility, Mental Illness providers in North Carolina →

Registry record

NPI: 1285931139
Entity type: Organization
NPI issued: 11 Feb 2011
Record last updated: 11 Feb 2011

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.