With a Purpose Family Care, Inc.
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Lagrange, NC
NPI 1093088916 · NPPES record last updated Feb 23, 2012
Key facts
- NPI
- 1093088916
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- License
- MHL-054-164 (NC)
- Legal business name
- WITH A PURPOSE FAMILY CARE, INC.
- Practice address
- 6257 Roberts Drive
Lagrange, NC 28551-6805 - Phone
- (919) 344-5840
- Fax
- (252) 566-9440
- NPI assigned
- Feb 23, 2012
- Organization subpart
- No
Authorized official
- Name
- Elizabeth M Smith, QP
- Title
- Administrator
- Phone
- (919) 344-5840
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- With a Purpose Family Care 2 Woody House
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | MHL-054-164 | NC | Yes |
Addresses
Primary practice location
6257 Roberts Drive
Lagrange, NC 28551-6805
Mailing address
6257 Roberts Dr
La Grange, NC 28551-6805
Phone (919) 344-5840
Other providers in Lagrange, NC
All providers in Lagrange, NC · Mental Illness Community Based Residential Treatment Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.