IndividualActive
Bobby Mcrae
NPI 1659775989 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Mt Gilead, NC
Provider details
- NPI number
- 1659775989
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 320600000
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 320600000
Residential Treatment Facilities
Practice location
299 Thomasville Ch.rd.
Mt Gilead, NC 27306
Phone: (704) 961-6797
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2542
Albemarle, NC 28002-2542
Registry dates
- Enumerated
- 2014-10-15
- Last updated
- 2014-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.