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FLYNN CHRISTIAN FELLOWSHIP HOME NPI 1053677294


NPI Information

NPI: 1053677294
Provider Name: FLYNN CHRISTIAN FELLOWSHIP HOME
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
409 N GEORGE ST
GOLDSBORO, NC
ZIP 27530
Phone: (919) 736-1718
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FLYNN CHRISTIAN FELLOWSHIP HOME is a substance abuse rehabilitation facility in Goldsboro, NC. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. FLYNN CHRISTIAN FELLOWSHIP HOME NPI is 1053677294. The provider is registered as an organization entity type.

The provider's business location address is:

409 N GEORGE ST
GOLDSBORO, NC
ZIP 27530-723
Phone: (919) 736-1718
Fax: (919) 734-0541

The provider's authorized official is Robert House .
The authorized official title is Ceo/chairman Of The Board and has the following contact phone number (919) 736-1718.

The enumeration date for this NPI number is 4/2/2012 and was last updated on 4/2/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityMHL096244NORTH 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: 5/5/2024

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