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NPI 1235453366 · Emotionally Disturbed Childrens' Residential Treatment Facility · Durham, NC
Provider details
- NPI number
- 1235453366
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Nikki Gladney, Owner(919) 294-8487
- License
- MHL-032-497 (NC)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense MHL-032-497 (NC)
Residential Treatment Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3704 Four Seasons Dr
Durham, NC 27707-4724
Phone: (919) 294-8487
Street-level locationGet directions
Mailing address
3704 Four Seasons Dr
Durham, NC 27707-4724
Registry dates
- Enumerated
- 2010-03-18
- Last updated
- 2010-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.