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Search › North Carolina › Emotionally Disturbed Childrens' Residential Treatment Facility

William Gorham

NPI 1568230902 · on the registry since 2023 · sole proprietor

Practice

Address
878 W Star St
Greenville, NC 27834
Phone
(252) 417-6829
Organisation at this address
Doc Drop Ride Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Emotionally Disturbed Childrens' Residential Treatment Facility
322D00000X
Also registered as
Community/Behavioral Health Agency
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Mental Illness Community Based Residential Treatment Facility
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-14
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina