VICTORIA HALL BLAKE
Individual Provider (NPI-1)
Active
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Information
- NPI Number
1801749551- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 412 SURRY CT, JACKSONVILLE, NC, 285403955
- Phone
- (910) 340-1833
Specialties & Taxonomies
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Primary License: NC #MHL-067-220