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Johnson Center II

Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Red Springs, NC

NPI 1245418052 · NPPES record last updated Feb 4, 2008

Key facts

NPI
1245418052
Entity type
Organization (NPI type 2)
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
License
MHL078197 (NC)
Legal business name
JOHNSON CENTER II
Practice address
111 Taylor St
Red Springs, NC 28377-1918
Phone
(910) 843-7007
Fax
(910) 843-7008
NPI assigned
Feb 4, 2008
Organization subpart
No

Authorized official

Name
Shelia Ferguston, RN
Title
Executive Director
Phone
(910) 843-7007

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2160162Johnson Center II
111 Taylor Street, Red Springs, NC 28377		Certificate of waiverJan 6, 2027

National Provider Directory

Tax ID family
Johnson Center Homes Inc (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL078197 NC Yes

Addresses

Primary practice location

111 Taylor St
Red Springs, NC 28377-1918

Mailing address

PO Box 844
Red Springs, NC 28377-0844
Phone (910) 843-7007

Other providers in Red Springs, NC

All providers in Red Springs, NC · Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.