MR. JAMES EDWARD MCIVER NPI 1124172986

NPI Information

MR. James Edward Mciver is a residential treatment facility emotionally disturbed children in Jacksonville, 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. MR. James Edward Mciver NPI is 1124172986. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

141 THOMAS HUMPHREY RD
JACKSONVILLE, NC
ZIP 28546-205
Phone: (910) 347-5218
Fax: (910) 346-0957

The enumeration date for this NPI number is 1/22/2007 and was last updated on 7/9/2007.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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