William Tyrone Madden
William Tyrone Madden is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wilmington, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
344 Tributary CirWilmington, NC 28401-7030
Phone: (336) 303-5522
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1801667217 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 15, 2024 |
| Last updated in NPPES | January 15, 2024 |
| Certification date | January 13, 2024 |
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