OrganizationActive
Bynum'S-Way Adolescent Treatment Home
NPI 1114157989 · Emotionally Disturbed Childrens' Residential Treatment Facility · Roxboro, NC
Provider details
- NPI number
- 1114157989
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Lora Bynum, Ceo
- License
- 073055 (NC)
Practice location
4700 Virgilina Rd
Roxboro, NC 27574-8307
Phone: (336) 592-5625
Fax: (919) 550-2648
Mailing address
4700 Virgilina Rd
Roxboro, NC 27574-8307
Registry dates
- Enumerated
- 2009-07-15
- Last updated
- 2009-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.