Doctor Name: | WILLIAM E VAUGHN |
NPI Number: | 1447411939 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | MHL-096-028 |
Business Practice Address: | 900 E Elm St Goldsboro, NC - 275305914 |
Business Phone Number: | 9197397226 |
Business Fax Number: | |
Mailing Address: | 105 Neil St, GOLDSBORO |
State: | NC |
Postal Code: | 275301525 |
Phone Number: | 9197351683 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2008 |
NPI Last Update Date: | 06/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | MHL-096-028 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |