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

Mrs. Cynthia Maria Simon

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1164630133

Mrs. Cynthia Maria Simon is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007

Practice location Address checks out

507 Myna Dr
Jacksonville, NC 28540-6924
Phone: (910) 938-3037
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence MHL067128 (NC)

Record details

NPI number1164630133
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 21, 2007
Last updated in NPPESJuly 8, 2007

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