NPI 1588855787

Phoenix Home for Boys

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Morganton, NC

Practice location

Address: 117 William Parks Ln, Morganton, NC 28655-9173
Phone: (828) 584-1589
Fax: (828) 584-1589
Mailing address: PO Box 2386, Morganton, NC 28680-2386

Authorised official

Name: Ronda Mitchell Bythewood
Title: Executive Director
Phone: (828) 439-9911

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence MHL-012-009 (NC)

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

Registry record

NPI: 1588855787
Entity type: Organization
NPI issued: 5 Aug 2007
Record last updated: 6 Aug 2007

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.