Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dwayne's Extended Family Services, Inc

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1831256858

Dwayne's Extended Family Services, Inc is an Emotionally Disturbed Childrens' Residential Treatment Facility in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
Specialties on file
2
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

1421 Walnut St
Greensboro, NC 27405-6648
Phone: (336) 638-3494
Fax: (336) 638-3494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence MHL-041-627 (NC)
Emotionally Disturbed Childrens' Residential Treatment Facility Taxonomy 322D00000X · Licence MHL-041-676 (NC)

Record details

NPI number1831256858
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dwayne Tripp — Owner · (336) 638-3494
NPI enumeratedJanuary 2, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1215 Bales Chapel Rd, Jamestown, NC 27282-9149

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