IndividualActive
Addie Watson
NPI 1881711802 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Greensboro, NC
Provider details
- NPI number
- 1881711802
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- MHL041048 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense MHL041048 (NC)
Residential Treatment Facilities
Practice location
1310 Elwell Ave
Greensboro, NC 27405-6118
Phone: (336) 275-1461
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 20084
Greensboro, NC 27420-0084
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2024-03-04
- Certified
- 2024-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.