OrganizationActive
Brushy Mountain Group Homes, Inc
NPI 1104939313 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · North Wilkesboro, NC
Provider details
- NPI number
- 1104939313
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Shelley Gamble, Executive Director(336) 838-3789
- License
- MHL097046 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense MHL097046 (NC)
Residential Treatment Facilities
Practice location
1224 Swain St
North Wilkesboro, NC 28659-3343
Phone: (336) 838-7220
Fax: (336) 838-3490
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1045
North Wilkesboro, NC 28659-1045
Other names (DBA / former)
- Doing business as
- Swain Street Group Home
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2008-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.