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CIRCLE OF COURAGE OF BRUNSWICK CO. LLC NPI 1306010533


NPI Information

NPI: 1306010533
Provider Name: CIRCLE OF COURAGE OF BRUNSWICK CO., LLC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
3205 RANDALL PKWY
SUITE 207
WILMINGTON, NC
ZIP 28403
Phone: (910) 338-0001
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CIRCLE OF COURAGE OF BRUNSWICK CO., LLC is a residential treatment facility emotionally disturbed children in Wilmington, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. CIRCLE OF COURAGE OF BRUNSWICK CO., LLC NPI is 1306010533. The provider is registered as an organization entity type.

The provider's business location address is:

3205 RANDALL PKWY
SUITE 207
WILMINGTON, NC
ZIP 28403-564
Phone: (910) 338-0001
Fax: (910) 341-7220

The provider's authorized official is Laronda Y Woods .
The authorized official title is Owner and has the following contact phone number (910) 338-0001.

The enumeration date for this NPI number is 4/18/2008 and was last updated on 4/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children010059NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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