MRS. STEHANIE WALL

Community Based Residential Treatment Facility, Mental Illness

Active Individual
NPI: 1083045306

Practice Address

1357 WAYSIDE RD
Raeford, NC 28376

Phone: (910) 565-2139

Specialties

Specialty Code Primary License
Community Based Residential Treatment Facility, Mental Illness 320800000X Yes MHL-047-152 (NC)
Case Manager/Care Coordinator 171M00000X No 27-0962043 (SC)
Private Vehicle 347C00000X No 27-0962043 (SC)

Frequently Asked Questions

NPI 1083045306 is the National Provider Identifier for MRS. STEHANIE WALL, a Community Based Residential Treatment Facility, Mental Illness provider located in Raeford, NC. This NPI was enumerated on December 12, 2013.
MRS. STEHANIE WALL practices at 1357 WAYSIDE RD, Raeford, NC 28376.

Quick Facts

NPI
1083045306
Type
Individual
Enumerated
Dec 12, 2013
Last Updated
Jan 9, 2015

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