| Mts Therapeutic Residential Services, Llc | |
|
303 S Shore Dr Jacksonville NC 28540-5647 | |
| (910) 938-0670 | |
| (910) 938-1229 |
| Full Name | Mts Therapeutic Residential Services, Llc |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 303 S Shore Dr, Jacksonville, North Carolina |
| Authorized Official Name and Position | Chasity Nicole Hudson-odoi (OWNER) |
| Authorized Official Contact | 9109380670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mts Therapeutic Residential Services, Llc 303 S Shore Dr Jacksonville NC 28540-5647 Ph: (910) 938-0670 | Mts Therapeutic Residential Services, Llc 303 S Shore Dr Jacksonville NC 28540-5647 Ph: (910) 938-0670 |
| NPI Number | 1265674113 |
|---|---|
| Provider Enumeration Date | 03/24/2009 |
| Last Update Date | 03/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265674113 | NPI | - | NPPES |
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