Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Country Living Guest Home, Inc

Organization Psychiatric Residential Treatment Facility · NPI 1902963499

Country Living Guest Home, Inc is a Psychiatric Residential Treatment Facility in Washington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3134 Market Street Ext
Washington, NC 27889-8127
Phone: (252) 975-3741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Residential Treatment Facility (primary) Taxonomy 323P00000X · Licence MHL-007-043 (NC)

Record details

NPI number1902963499
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tim Hardison — Administrator · (252) 402-7823
NPI enumeratedJanuary 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing address3134 Market Street Ext, Washington, NC 27889-8127

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