NPI | 1548322175 |
---|---|
Former Legal Business Name | GREAT EXPECTATIONS RESIDENTIAL SERVICES INC |
Entity Type | Organization |
Authorized Contact | ANTHONY CHARLES PACKER Owner President 910-860-3325 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: NC 8300907) |
Additional Taxonomies | 251B00000X Case Management (Licence: NC 8300907) |
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC 6603654) | |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC 6603429) | |
101YP2500X Counselor, Professional (Licence: NC 4660) | |
103T00000X Psychologist (Licence: NC 1837) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1017) | |
103T00000X Psychologist (Licence: NC 2513) | |
101YP2500X Counselor, Professional (Licence: NC 5158) | |
322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 6603654) | |
322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 6603429) | |
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC 6604172) | |
Enumeration Date | 2006-12-13 |
Last Update Date | 2007-10-05 |