OrganizationActive
1st & 10 Group Home Inc
NPI 1538234372 · Emotionally Disturbed Childrens' Residential Treatment Facility · Rosebore, NC
Provider details
- NPI number
- 1538234372
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Jerris Mcphail, President
- License
- MHL082059 (NC)
Practice location
206 North East Street
Rosebore, NC 28382-1353
Phone: (910) 525-5488
Fax: (910) 525-5433
Mailing address
Po Box 41
Clinton, NC 28329-0041
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2008-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.