NPI 1366563777

People of Potential, INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Jacksonville, NC

Practice location

Address: 1001 Henderson Dr, Jacksonville, NC 28540-7423
Phone: (910) 388-1892
Fax: (910) 378-1391
Mailing address: 113 Courtland Dr, Jacksonville, NC 28546-6017

Authorised official

Name: Dawn L McCullen
Title: President
Phone: (910) 265-1756

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence MHL067034 (NC)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Carolina →

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X Licence MHL067100 (NC)

Registry record

NPI: 1366563777
Entity type: Organization
NPI issued: 3 Apr 2007
Record last updated: 22 Feb 2013

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.