| Shiloh Child And Adolescent Day Treatment Services, Llc | |
|
312 S Franklin St Rocky Mount NC 27804-5711 | |
| (252) 443-3045 | |
| (252) 443-2755 |
| Full Name | Shiloh Child And Adolescent Day Treatment Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 312 S Franklin St, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Betty Plummer Brown (OWNER) |
| Authorized Official Contact | 2524433045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shiloh Child And Adolescent Day Treatment Services, Llc 312 S Franklin St Rocky Mount NC 27804-5711 Ph: (252) 443-3045 | Shiloh Child And Adolescent Day Treatment Services, Llc 312 S Franklin St Rocky Mount NC 27804-5711 Ph: (252) 443-3045 |
| NPI Number | 1265757785 |
|---|---|
| Provider Enumeration Date | 03/29/2010 |
| Last Update Date | 03/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265757785 | NPI | - | NPPES |
| MHL-111 | Other | NC | STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | MHL-064111 (North Carolina) | Primary |
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