Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TINA WILSON
Active Sole ProprietorTINA WILSON is a Psychiatric Residential Treatment Facility healthcare provider located in MT HOLLY, North Carolina. NPI 1033653720 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Residential Treatment Facility · MT HOLLY, NC
Registration Details
- NPI Number
- 1033653720
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 14, 2016 (9.7040181907119 yrs)
- Last Updated
- Aug 10, 2017
- License
-
MHL-036-323 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
139 WHIPPOORWILL LNMT HOLLY, NC, 281209761Browse NC providers · Browse ZIP 28120
- Phone
- 7045741549
- Primary Specialty
-
Psychiatric Residential Treatment Facility
320800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.