OrganizationActive
Brushy Mountain Group Homes, Inc.
NPI 1609980556 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · North Wilkesboro, NC
Provider details
- NPI number
- 1609980556
- 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
- MHL097044 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense MHL097044 (NC)
Residential Treatment Facilities
Practice location
1904 Windy Ridge Rd
North Wilkesboro, NC 28659-8752
Phone: (336) 670-2265
Fax: (336) 838-3490
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1045
North Wilkesboro, NC 28659-1045
Other names (DBA / former)
- Other name
- Mulberry Group Home
Registry dates
- Enumerated
- 2006-08-18
- 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.