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

Excel 4 Life, Inc

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1487988788

Excel 4 Life, Inc is an Emotionally Disturbed Childrens' Residential Treatment Facility in Washington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009
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

2310 Cherry Run Rd
Washington, NC 27889-8366
Phone: (252) 205-0381
Fax: (252) 946-4243
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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 007-052 (NC)

Record details

NPI number1487988788
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mario Jackson Jackson — Owner/Director · (252) 205-0381
NPI enumeratedSeptember 21, 2009
Last updated in NPPESSeptember 21, 2009
Mailing address149 N Market St, Washington, NC 27889-4947

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