COZIE'S SUPERVISED LIVING INC
Residential Treatment Facilities at County Line Rd, Kimesville, NC

License number
North Carolina MHL-001-074
Category
Residential Treatment Facilities
Type
Psychiatric Residential Treatment Facility
License number
North Carolina MHL-076-098
Category
Residential Treatment Facilities
Type
Psychiatric Residential Treatment Facility
Owner
Name: MS. CRYSTAL DEMETRUS SHOFFNER
Title: EXECUTIVE DIRECTOR
Phone: (336) 549-1081
Address
Address
7964 County Line Rd, Kimesville, NC 27298
National Provider ID: 1770727281
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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