With a Purpose Family Care, Inc.# 2

Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Kinston, NC

NPI 1902152002 · NPPES record last updated Oct 21, 2014

Key facts

NPI
1902152002
Entity type
Organization (NPI type 2)
Primary specialty
Mental Illness Community Based Residential Treatment Facility 320800000X
License
MHL-054-175 (NC)
Legal business name
WITH A PURPOSE FAMILY CARE, INC.# 2
Practice address
863 Black Harper Rd
Kinston, NC 28504-7042
Phone
(919) 709-6340
NPI assigned
Jul 26, 2012
Organization subpart
No

Authorized official

Name
Elizabeth M Smith, MSW, QP
Title
Administrator
Phone
(252) 566-9440

Corporate family (same tax ID) 2

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

National Provider Directory

Tax ID family
With a Purpose Family Care 2 Woody House (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-054-175 NC Yes

Addresses

Primary practice location

863 Black Harper Rd
Kinston, NC 28504-7042

Mailing address

6257 Roberts Dr
La Grange, NC 28551-6805
Phone (252) 566-9440

Other providers in Kinston, NC

All providers in Kinston, NC · Mental Illness Community Based Residential Treatment Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.