Kids' Residential Services, Inc. | |
114 Greenhouse Ln Southern Pines NC 28387-3140 | |
(910) 496-0661 | |
(910) 829-0088 |
Full Name | Kids' Residential Services, Inc. |
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Speciality | Community/behavioral Health |
Location | 114 Greenhouse Ln, Southern Pines, 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 |
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Kids' Residential Services, Inc. Po Box 429 Fayetteville NC 28302-0429 Ph: (910) 829-7184 | Kids' Residential Services, Inc. 114 Greenhouse Ln Southern Pines NC 28387-3140 Ph: (910) 496-0661 |
NPI Number | 1740591684 |
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Provider Enumeration Date | 06/25/2010 |
Last Update Date | 03/25/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740591684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | MHL-063-017 (North Carolina) | Primary |
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