| Kids' Residential Services, Inc. | |
|
1112 Devonshire Trl Aberdeen NC 28315-3910 | |
| (910) 944-1047 | |
| (910) 829-0088 |
| Full Name | Kids' Residential Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1112 Devonshire Trl, Aberdeen, North Carolina |
| Authorized Official Name and Position | Brittany Marie Cooper (PRESIDENT/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9108297184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids' Residential Services, Inc. Po Box 429 Fayetteville NC 28302-0429 Ph: (910) 829-7184 | Kids' Residential Services, Inc. 1112 Devonshire Trl Aberdeen NC 28315-3910 Ph: (910) 944-1047 |
| NPI Number | 1225358427 |
|---|---|
| Provider Enumeration Date | 06/10/2010 |
| Last Update Date | 03/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225358427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-063-016 (North Carolina) | Primary |
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