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

Mary's Home

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1215338231

Mary's Home is an Emotionally Disturbed Childrens' Residential Treatment Facility in Wilson, North Carolina. Licensed in North Carolina. Registered with an NPI since 2014.

Licensed in
NC
In the registry since
2014

Practice location Address checks out

1808 Birchwood Dr SE
Wilson, NC 27893-6476
Phone: (252) 347-9705
Show map & directions

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 .1300 (NC)

Record details

NPI number1215338231
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dominique Jones — Owner And Director · (252) 347-9705
NPI enumeratedSeptember 9, 2014
Last updated in NPPESSeptember 9, 2014
Mailing address1808 Birchwood Dr Se, Wilson, NC 27893-6476

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