NPI 1376724039

Brenda W Bryan

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

Practice location

Address: 2001 Vernon Rd, Rocky Mount, NC 27801
Phone: (252) 977-1956
Fax: (252) 977-1956

Authorised official

Name: Brenda Bryant
Title: Owner
Phone: (252) 977-1956

Registered specialties (2)

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

Residential Treatment Facilities Taxonomy 320900000X Licence MHL033046 (NC)

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

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X Licence MHL033046 (NC)

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

Registry record

NPI: 1376724039
Entity type: Organization
NPI issued: 21 Nov 2007
Record last updated: 1 Aug 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.