fid licenseno licensee origdate effective expires sanctype begindate enddate beds progcode services agecode disablecat factype rpttype facility mailaddr mailcity mailstate mailzip siteaddr sitecity sitestate sitezip county facphone incareof 120569 MHL-041-985 "1st Choice Health Services Consulting, LLC" 21-Sep-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "1st Choice Health Services Consulting, LLC" P.O. Box 16456 Greensboro NC 27416 "1208 Eastchester Drive, Suite 240" High Point NC 27265-3170 Guilford (336)905-7688 "1st Choice Health Services Consulting, LLC" 120569 MHL-041-985 "1st Choice Health Services Consulting, LLC" 21-Sep-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "1st Choice Health Services Consulting, LLC" P.O. Box 16456 Greensboro NC 27416 "1208 Eastchester Drive, Suite 240" High Point NC 27265-3170 Guilford (336)905-7688 "1st Choice Health Services Consulting, LLC" 070425 MHL-041-855 "3 D'S FOREVER, INC." 15-Nov-07 01-Jan-13 31-Dec-13 - - - - 6 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Step Down Group Home 3012 Branderwood Drive Greensboro NC 27406 3012 Branderwood Drive Greensboro NC 27406 Guilford (336)854-2083 120168 MHL-041-1058 "8 New Beginning With Kayanda, Inc." 16-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "8 New Beginning with Kayanda, Inc." 803 Sunstar Court Brown Summit NC 27214 "2300 West Meadowview Road, Ste 105" Greensboro NC 27405 Guilford (336)500-2174 "8 New Beginning with Kayanda, Inc." 080076 MHL-001-166 "A Better Path, Inc." 15-Aug-08 01-Jan-13 31-Dec-13 - - - - 5 27G.1300 Residential Treatment Level II C&A MI RESIDENTL "A Better Path, Inc." PO Box 2954 Burlington NC 27216-2954 309 South Beaumont Avenue Burlington NC 27217 Alamance (336)229-4853 "A Better Path, Inc." 060883 MHL-041-926 "A Brighter Day Group Home, LLC" 16-Sep-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL "A Brighter Day Group Home, LLC" 1502 Ola Street Greensboro NC 27405 2 Woodlea Ridge Court Greensboro NC 27406 Guilford (336)272-0604 090762 MHL-059-055 "A Caring Alternative, LLC" 01-Nov-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY McDowell County Day Treatment 617 S. Green Street Suite 300 Morganton NC 28655 172 Lukin Street Marion NC 28752 McDowell (828)652-6580 A Caring Alternative LLC 120219 MHL-059-057 "A Caring Alternative, LLC" 05-Jun-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY McDowell County Elementary Day Treatment PO Box 1536 Morganton NC 28680 820 Marler Road Marion NC 28752 McDowell (828)738-3353 "A Caring Alternative, LLC" 120368 MHL-012-122 "A Caring Alternative, LLC" 17-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY A Caring Alternative Day Treatment PO Box 1536 Morganton NC 28680 1140 Old NC 18 South Morganton NC 28655 Burke (828)437-5785 "A Caring Alternative, LLC" 120170 MHL-065-238 "A Caring Heart Case Management, Inc." 12-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY A Caring Heart Independence Center 2541 South 17th Street Wilmington NC 28401 2541 South 17th Street Wilmington NC 28401 New Hanover (910)332-3513 "A Caring Heart Case Management, Inc." 120499 MHL-051-205 "A Caring Heart Case Management, Inc." 27-Sep-12 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY A Caring Heart Independence Center-Smithfield 21 Noble Street Smithfield NC 27577 21 Noble Street Smithfield NC 27577 Johnston (919)938-9484 "A Caring Heart Case Management, Inc." 120491 MHL-096-249 "A Caring Heart Case Management, Inc." 27-Sep-12 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY A Caring Heart Independence Center-Goldsboro 1923 Salem Church Rd Goldsboro NC 27530 1923 Salem Church Rd Goldsboro NC 27530 Wayne (919)587-0189 "A Caring Heart Case Management, Inc." 120624 MHL-098-183 "A Caring Heart Case Management, Inc." 07-Jan-13 07-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&A MD DAY A Caring Heart Independence Center "1901 Tarboro St. SW, Suite 300" Wilson NC 27893 "1901 Tarboro St. SW, Suite 102" Wilson NC 27893 Wilson (252)206-1266 "A Caring Heart Case Management, Inc." 020905 MHL-060-872 "A Caring Home, Inc." 01-Nov-02 01-Jan-13 31-Dec-13 Type A 16-Nov-12 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Mr. Bill's Place 8616 Nations Ford Road Charlotte NC 28217 8612 Nations Ford Road Charlotte NC 28217 Mecklenburg (704)525-2840 111043 MHL-041-1056 A Day of Distinction LLC 06-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY A Day of Distinction LLC 1106 East Market Street Greensboro NC 27401 1106 East Market Street Greensboro NC 27401 Guilford (336)456-5349 070290 MHL-078-296 A Great Day Enrichment Center LLC 22-Feb-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY A Great Day Enrichment Center LLC 1909 Horne Camp Road Fairmont NC 28340 1909 Horne Camp Road Fairmont NC 28340 Robeson (910)628-6562 120185 MHL-034-301 "A Greater Divine Place, Inc." 14-Jun-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL SAS DAY A Greater Divine Place "1409 West Plaza Road, Suite J" Winston-Salem NC 27103 "1409 West Plaza Road, Suite J" Winston-Salem NC 27103 Forsyth (336)225-8983 070567 MHL-065-191 "A Helping Hand of Wilmington, LLC" 28-Sep-07 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY A Helping Hand of Wilmington 5013 Wrightsville Avenue Wilmington NC 28403-7045 5013 Wrightsville Avenue Wilmington NC 28403 New Hanover (910)796-6868 Lisa Atkins 120636 MHL-010-082 "A Helping Hand of Wilmington, LLC" 12-Apr-13 12-Apr-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY A Helping Hand of Wilmington 5013 Wrightsville Avenue Wilmington NC 28403 324-R Village Road Leland NC 28451 Brunswick (910)796-6868 "A Helping Hand of Wilmington, LLC" 100259 MHL-051-190 "A New Start Support Services II, LLC" 11-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "A New Start Support Services II, LLC" "935 Shotwell Road, Suite 104A" Clayton NC 27520 "935 Shotwell Road, Suite 104A" Clayton NC 27520 Johnston (919)359-0669 100259 MHL-051-190 "A New Start Support Services II, LLC" 11-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "A New Start Support Services II, LLC" "935 Shotwell Road, Suite 104A" Clayton NC 27520 "935 Shotwell Road, Suite 104A" Clayton NC 27520 Johnston (919)359-0669 070571 MHL-041-852 "A Place of Their Own, LLC" 19-Oct-07 01-Jan-13 31-Dec-13 - - - - 6 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL A Place of Their Own LLC 1525 Bowmore Place McLeansville NC 27301 5629 Burlington Road McLeansville NC 27301 Guilford (336)382-0178 Chanisty Mitchell 090052 MHL-094-007 "A Plus Results Independent Living, Inc." 17-Mar-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "A Plus Results Independent Living, Inc." PO Box 685 Plymouth NC 27962 102 West Water Street Plymouth NC 27962 Washington (252)793-6500 "A Plus Results Independent Living, Inc." 090052 MHL-094-007 "A Plus Results Independent Living, Inc." 17-Mar-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "A Plus Results Independent Living, Inc." PO Box 685 Plymouth NC 27962 102 West Water Street Plymouth NC 27962 Washington (252)793-6500 "A Plus Results Independent Living, Inc." 110331 MHL-094-011 "A Plus Results Independent Living, Inc." 20-May-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "A Plus Results Independent Living, Inc." PO Box 685 Plymouth NC 27962 123 East Water Street Plymouth NC 27962 Washington (252)793-6500 110695 MHL-058-051 "A Plus Results Independent Living, Inc." 13-Sep-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "A Plus Results Independent Living, Inc." PO Box 685 Plymouth NC 27962-0685 112 & 114 West Main Street Williamston NC 27892 Martin (252)793-6500 110695 MHL-058-051 "A Plus Results Independent Living, Inc." 13-Sep-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "A Plus Results Independent Living, Inc." PO Box 685 Plymouth NC 27962-0685 112 & 114 West Main Street Williamston NC 27892 Martin (252)793-6500 110695 MHL-058-051 "A Plus Results Independent Living, Inc." 13-Sep-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "A Plus Results Independent Living, Inc." PO Box 685 Plymouth NC 27962-0685 112 & 114 West Main Street Williamston NC 27892 Martin (252)793-6500 111042 MHL-092-840 "A Small Miracle, Inc." 02-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY "Transitions Day Program by A Small Miracle, Inc." 7404 Chapel Hill Road Suite K Raleigh NC 27607 6008 Triangle Drive Suite 101 Raleigh NC 27617 Wake (919)787-7570 "A Small Miracle, Inc." 120077 MHL-044-058 "A Small Miracle, Inc." 23-May-12 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Transitions West Day Program 1170 South Main Street Waynesville NC 28786 1170 South Main Street Waynesville NC 28786 Haywood (828)564-5650 "A Small Miracle, Inc." 120354 MHL-071-035 "A Special Touch II, Inc." 21-Sep-12 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL A Special Touch II 260 Gail Road Willard NC 28478 305 South Smith Street Burgaw NC 28425 Pender (910)259-1173 "A Special Touch II, Inc." 060611 MHL-034-207 "A Sure House, Inc." 28-Sep-06 01-Jan-13 31-Dec-13 Type B 28-Apr-10 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "A Sure House, Inc." 1265 Arbor Road Winston-Salem NC 27104 1265 Arbor Road Winston-Salem NC 27104 Forsyth (336)773-7627 100424 MHL-060-1239 A Turning Point Counseling and Consulting LLC 19-Mar-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY A Turning Point SAIOP PO Box 5103 Charlotte NC 28205 "2121 Commonwealth Avenue, Ste. 106" Charlotte NC 28205 Mecklenburg (704)379-1960 A Turning Point Counseling and Consulting LLC 111005 MHL-092-766 "A United Community, LLC" 16-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "A United Community, LLC" "4020 Wake Forest Rd, Ste 301" Raleigh NC 27609 "4020 Wake Forest Road, Suite 301" Raleigh NC 27609 Wake (919)878-1590 111005 MHL-092-766 "A United Community, LLC" 16-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "A United Community, LLC" "4020 Wake Forest Rd, Ste 301" Raleigh NC 27609 "4020 Wake Forest Road, Suite 301" Raleigh NC 27609 Wake (919)878-1590 111005 MHL-092-766 "A United Community, LLC" 16-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "A United Community, LLC" "4020 Wake Forest Rd, Ste 301" Raleigh NC 27609 "4020 Wake Forest Road, Suite 301" Raleigh NC 27609 Wake (919)878-1590 041354 MHL-041-663 "A+ Williamson Care Network, LLC" 29-Jan-03 01-Jan-13 31-Dec-13 Type B 15-Aug-11 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Acres on Russwood Assisted Living Home P.O. Box 16184 Greensboro NC 27416 6210 Russwood Drive Pleasant Garden NC 27313 Guilford (336)674-5959 070107 MHL-041-820 "A+ Williamson Care Network, LLC" 04-May-07 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Alamance Assisted Living Home PO Box 16184 Greensboro NC 27416 1123-A Alamance Church Road Greensboro NC 27406 Guilford (336)274-4140 Monaca Williamson 980929 MHL-070-044 "ABHS, Inc." 05-May-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ABHS 1331 Four Forks Rd. PO Box 789 Kinston NC 28502 1331 Four Forks Road Elizabeth City NC 27909 Pasquotank (252)264-2958 ABHS 120139 MHL-092-725 "ACI Support Specialists, Inc." 22-Sep-08 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Pine Valley "1027 Hwy 70 W, Ste. 109" Garner NC 27529 5213 Pronghorn Lane Raleigh NC 27610 Wake (919)846-6444 "ACI Support Specialists, Inc." 080893 MHL-060-1094 "ADCI, LLC" 26-Jan-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY ADCI 5105 Monroe Road Charlotte NC 28205 5609 Monroe Road #2 Charlotte NC 28212 Mecklenburg (704)568-1122 "ADCI, LLC" 040960 MHL-026-931 ADMP Corporation 06-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization C&ADOL&A MI DAY Footpaths "131 Hay Street, Suite 101" Fayetteville NC 28301 "131 Hay Street, Suite 101" Fayetteville NC 28301 Cumberland (910)323-0584 ADMP Corporation 040960 MHL-026-931 ADMP Corporation 06-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Footpaths "131 Hay Street, Suite 101" Fayetteville NC 28301 "131 Hay Street, Suite 101" Fayetteville NC 28301 Cumberland (910)323-0584 ADMP Corporation 040960 MHL-026-931 ADMP Corporation 06-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Footpaths "131 Hay Street, Suite 101" Fayetteville NC 28301 "131 Hay Street, Suite 101" Fayetteville NC 28301 Cumberland (910)323-0584 ADMP Corporation 040960 MHL-026-931 ADMP Corporation 06-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Footpaths "131 Hay Street, Suite 101" Fayetteville NC 28301 "131 Hay Street, Suite 101" Fayetteville NC 28301 Cumberland (910)323-0584 ADMP Corporation 050206 MHL-047-073 "ALPHA Counseling & DWI Services, Inc." 23-Oct-03 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "ALPHA Counseling & DWI Services, Inc." 9530 Mountain Home Drive Fayetteville NC 28314 132 West Elwood Avenue Raeford NC 28376 Hoke (910)875-0070 George Elliott 050206 MHL-047-073 "ALPHA Counseling & DWI Services, Inc." 23-Oct-03 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "ALPHA Counseling & DWI Services, Inc." 9530 Mountain Home Drive Fayetteville NC 28314 132 West Elwood Avenue Raeford NC 28376 Hoke (910)875-0070 George Elliott 050206 MHL-047-073 "ALPHA Counseling & DWI Services, Inc." 23-Oct-03 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "ALPHA Counseling & DWI Services, Inc." 9530 Mountain Home Drive Fayetteville NC 28314 132 West Elwood Avenue Raeford NC 28376 Hoke (910)875-0070 George Elliott 922408 MHL-020-006 "ARC Cherokee/Clay, Inc." 01-Jan-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Pleasant Hill Group Home 82 Boyd Street Andrews NC 28901 82 Boyd Street Andrews NC 28901 Cherokee (828)321-2165 941829 MHL-029-026 "ARC of Davidson County, Inc." 01-May-92 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Davidson #1 6 Vance Circle Lexington NC 27292 108 Fairview Drive Lexington NC 27292 Davidson (336)249-2533 "ARC of Davidson County, Inc." 942135 MHL-029-029 "ARC of Davidson County, Inc." 01-May-92 01-Jan-13 31-Dec-13 Type A 16-Jan-07 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Davidson #4 6 Vance Circle Lexington NC 27295 125 Delta Street Lexington NC 27292 Davidson (336)248-2518 "ARC of Davidson County, Inc." 942136 MHL-029-028 "ARC of Davidson County, Inc." 01-May-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Davidson #3 6 Vance Circle Lexington NC 27292 700 Hunters Way Lexington NC 27292 Davidson (336)249-0037 "ARC of Davidson County, Inc." 942563 MHL-029-027 "ARC of Davidson County, Inc." 01-May-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Davidson #2 6 Vance Circle Lexington NC 27292 434 Shannon Drive Lexington NC 27292 Davidson (336)357-5153 "ARC of Davidson County, Inc." 932410 MHL-020-009 "ARC-Cherokee/Clay County, Inc." 01-Feb-93 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Pleasant Valley Group Home P.O. Box 156 Murphy NC 28906 33 Gentle Dove Lane Murphy NC 28906 Cherokee (828)837-3225 100136 MHL-060-1141 "ARJ, LLC" 27-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "ARJ, LLC" 223 West Morehead Street Charlotte NC 28202 225 West Morehead Street Charlotte NC 28202 Mecklenburg (980)207-0310 "ARJ, LLC" 100136 MHL-060-1141 "ARJ, LLC" 27-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "ARJ, LLC" 223 West Morehead Street Charlotte NC 28202 225 West Morehead Street Charlotte NC 28202 Mecklenburg (980)207-0310 "ARJ, LLC" 100243 MHL-060-1263 "ARJ, LLC" 10-Apr-13 10-Apr-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Jasper's House Day Treatment 223 West Morehead Street Charlotte NC 28202 "1100 South Mint Street, Suites 101 & 103" Charlotte NC 28203-4049 Mecklenburg (980)819-5692 "ARJ, LLC" 090460 MHL-026-921 "ARJ, LLC #2" 24-May-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "ARJ, LLC #2 Fayetteville" 537 W. Sugar Creek Rd. Ste. 104-A Charlotte NC 28213 "2215 Murchison Rd., Ste. #3 & #4" Fayetteville NC 28301 Cumberland (910)703-8710 922268 MHL-011-001 "ARP/Phoenix, Inc" 01-Jun-84 01-Jan-13 31-Dec-13 - - - - 11 27G.3100 Non-hospital Medical Detoxification A SAS DAY&RESL Neil Dobbins Center 277 Biltmore Avenue Asheville NC 28801 277 Biltmore Avenue Asheville NC 28801 Buncombe (828)253-6306 Neil Dobbins Center 922268 MHL-011-001 "ARP/Phoenix, Inc" 01-Jun-84 01-Jan-13 31-Dec-13 - - - - 5 27G.5000 Facility Crisis Svcs. for all Disability Groups A MD RESIDENTL Neil Dobbins Center 277 Biltmore Avenue Asheville NC 28801 277 Biltmore Avenue Asheville NC 28801 Buncombe (828)253-6306 Neil Dobbins Center 955560 MHL-011-106 "ARP/Phoenix, Inc." 20-Mar-95 01-Jan-13 31-Dec-13 - - - - 12 27G.4100 Therapeutic Homes for Individuals With SA Disorders And A SAS DAY&RESL Mary Benson House 17 Church Street Asheville NC 28801 450 Montford Avenue Asheville NC 28801 Buncombe (828)252-5280 "RHA Management Services, Inc." 955560 MHL-011-106 "ARP/Phoenix, Inc." 20-Mar-95 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY&RESL Mary Benson House 17 Church Street Asheville NC 28801 450 Montford Avenue Asheville NC 28801 Buncombe (828)252-5280 "RHA Management Services, Inc." 061297 MHL-096-192 "ASA Living, Inc." 01-Mar-07 01-Jan-13 31-Dec-13 Type A 16-Oct-09 - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL ASA Living I 717 Longleaf Avenue Goldsboro NC 27534 1308 Ben Brewington Court Goldsboro NC 27530 Wayne (919)734-7110 120590 MHL-076-113 "ASG Services, LLC" 18-Jul-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization A MI DAY "ASG Services, LLC" 1410 Alamance Church Rd Greensboro NC 27406 126 Scarboro Street Asheboro NC 27203 Randolph (336)521-4627 120590 MHL-076-113 "ASG Services, LLC" 18-Jul-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "ASG Services, LLC" 1410 Alamance Church Rd Greensboro NC 27406 126 Scarboro Street Asheboro NC 27203 Randolph (336)521-4627 120590 MHL-076-113 "ASG Services, LLC" 18-Jul-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "ASG Services, LLC" 1410 Alamance Church Rd Greensboro NC 27406 126 Scarboro Street Asheboro NC 27203 Randolph (336)521-4627 100924 MHL-092-789 "ASPIRE Supportive & Counseling Services, LLC" 15-Sep-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "ASPIRE Supportive & Counseling Services, LLC" "136 East Morgan Street, Suite 100" Raleigh NC 27601 "136 East Morgan Street, Suite 100" Raleigh NC 27601 Wake (919)838-9244 "Aspire Supportive & Counseling Services, LLC" 100924 MHL-092-789 "ASPIRE Supportive & Counseling Services, LLC" 15-Sep-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "ASPIRE Supportive & Counseling Services, LLC" "136 East Morgan Street, Suite 100" Raleigh NC 27601 "136 East Morgan Street, Suite 100" Raleigh NC 27601 Wake (919)838-9244 "Aspire Supportive & Counseling Services, LLC" 041055 MHL-063-065 "ATS of North Carolina, Inc." 22-Jun-05 01-Jan-13 31-Dec-13 Type A 17-Dec-09 - - 0 27G.3600 Outpatient Methadone A SAS DAY Carolina Treatment Center of Pinehurst 20 Page Drive Suite 7 & 8 Pinehurst NC 28374 20 Page Drive Suite 7 & 8 Pinehurst NC 28374 Moore (910)235-9090 Advanced Treatment Systems of NC 060880 MHL-096-186 "ATS of North Carolina, Inc." 20-Nov-06 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Carolina Treatment Center of Goldsboro "1700 E. Ash St., Ste 200" Goldsboro NC 27530 "1700 East Ash Street, Suite 200" Goldsboro NC 27530-4097 Wayne (910)864-8739 110603 MHL-026-617 "ATS of North Carolina, Inc." 21-Jun-01 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone C&ADOL&A SAS DAY Carolina Treatment Center of Fayetteville 3427 Melrose Road Fayetteville NC 28304 3427 Melrose Road Fayetteville NC 28304 Cumberland (910)864-8739 "ATS of North Carolina, Inc." 080720 MHL-011-335 "ATS of North Carolina, Inc." 31-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone C&ADOL&A SAS DAY Mountain Health Solutions - Asheville 2 McDowell Street Asheville NC 28801 "2 McDowell Street, Unit A" Asheville NC 28801 Buncombe (828)225-6050 111025 MHL-097-065 "ATS of North Carolina, Inc." 31-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone C&ADOL&A SAS DAY Mountain Health Solutions-North Wilkesboro 205 6th Street North Wilkesboro NC 28659 205 6th Street North Wilkesboro NC 28659 Wilkes (336)818-0607 "ATS of North Carolina, Inc." 070544 MHL-041-881 AbleCare Corp 01-Dec-08 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MD DAY AbleCare Day Center "305 South Westgate Dr., Ste. A" Greensboro NC 27407 "305 South Westgate Dr., Ste. A" Greensboro NC 27407 Guilford (336)218-7008 AbleCare Corp 070205 MHL-041-887 AbleCare Corp 01-Dec-08 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Summerwood Group Home 305-D South Westgate Drive Greensboro NC 27407 5316 Summerwood Drive Greensboro NC 27455 Guilford (336)540-8940 AbleCare 060861 MHL-041-886 AbleCare Corp 01-Dec-08 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Second Street Group Home 305 South Westgate Dr. Greensboro NC 27407 601 Second Street Gibsonville NC 27249 Guilford (336)449-2037 AbleCare Corp 040508 MHL-034-234 AbleCare Corp 01-Dec-08 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Stepping Stone 305 South Westgate Dr. Greensboro NC 27407 3770 Tulip Drive Winston-Salem NC 27105 Forsyth (336)721-1710 AbleCare Corp 051267 MHL-079-098 AbleCare Corp 01-Dec-08 01-Jan-13 31-Dec-13 Type A 03-Mar-09 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL John Street Group Home 305 South Westgate Dr. Greensboro NC 27407 434 John Steet Eden NC 27288 Rockingham (336)627-5220 AbleCare Corp 970684 MHL-041-885 AbleCare Corp. 01-Dec-08 01-Jan-13 31-Dec-13 Type A 16-Oct-09 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Darden Home 305 South Westgate Dr. Greensboro NC 27407 3104 Darden Road Greensboro NC 27407-6702 Guilford (336)854-7026 AbleCare Corp 120550 MHL-026-942 "Above & Beyond Care, LLC" 25-Apr-13 25-Apr-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Above & Beyond Care, LLC" 2724 Blossom Road Hope Mills NC 28348 2724 Blossom Road Hope Mills NC 28348 Cumberland (910)229-2619 "Above & Beyond Care, LLC" 990191 MHL-092-755 Absolute Home and Community Services 01-Dec-09 01-Jan-13 31-Dec-13 Suspension of Admission 18-Jan-13 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Absolute Home and Community Services "1140 Benson Rd, Suite 201" Garner NC 27529 5628 Millrace Trail Raleigh NC 27606 Wake (919)662-7877 Absolute Home and Community Services 090167 MHL-092-836 "Absolute Home and Community Services, Inc." 07-Feb-12 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Absolute Home and Community Services 2 1140 Benson Rd. Ste. 201 Garner NC 27529 413 Normandy Street Cary NC 27511 Wake (919)662-7877 "Absolute Home and Community Services, Inc." 101184 MHL-033-097 "Abundant Life Treatment Center, LLC" 28-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Abundant Life Treatment Center, LLC" 108 West Hope Lodge Street Tarboro NC 27886 108 West Hope Lodge Street Tarboro NC 27886 Edgecombe (252)907-4723 100819 MHL-076-097 "Abundant Life, Inc." 26-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY "Abundant Life, Inc." PO Box 441 Randleman NC 27317 4720 US Highway 220 Business North Asheboro NC 27203 Randolph (336)495-0671 111044 MHL-065-237 "Access Family Services, Inc." 01-Feb-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Access Academy Wilmington PO Box 19649 Charlotte NC 28219 2875 Worth Drive Wilmington NC 28412 New Hanover (910)523-5534 "Access Family Services, Inc." 120350 MHL-060-975 "Access Family Services, Inc." 21-Dec-05 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Access Academy PO Box 19649 Charlotte NC 28219 8701 Moores Chapel Road Charlotte NC 28214 Mecklenburg (704)910-2134 "Access Family Services, Inc." 070478 MHL-092-850 Access Health System 2 Inc. 19-Jul-12 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Access Health System 2, Inc." 2002 Peachtree Town Lane Knightdale NC 27545 5208 Country Pines Court Raleigh NC 27616 Wake (919)850-3297 Access Health System 2 Inc. 080894 MHL-092-751 "Access Health System, Inc." 23-Oct-09 01-Jan-13 31-Dec-13 Type A 02-Dec-11 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Access Health System 1 5132 Dice Drive Raleigh NC 27616 5132 Dice Drive Raleigh NC 27616 Wake (919)747-9514 Access Health System 1 Inc 110385 MHL-023-173 "Achieve Case Management Services, Inc." 08-Aug-11 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Achieve Learning Center PO Box 550234 Gastonia NC 28055 1635-2 East Dixon Boulevard Shelby NC 28152 Cleveland (704)487-6033 "Achieve Case Management Services, Inc." 990838 MHL-011-180 Adams Family Care Homes 17-Aug-99 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Adams Family Home 615 Rose Hill Road Asheville NC 28803 615 Rose Hill Road Asheville NC 28803 Buncombe (828)299-0573 120175 MHL-032-572 "Adaptive Integrated Methods, LLC" 22-Mar-12 01-Jan-13 31-Dec-13 - - - - 0 27G.3300 Outpatient Detoxification C&ADOL&A SAS DAY "Adaptive Integrated Methods, LLC" "400 Crutchfield Street, Suite A" Durham NC 27704 "400 Crutchfield Street, Suite A" Durham NC 27704 Durham (919)471-5474 120175 MHL-032-572 "Adaptive Integrated Methods, LLC" 22-Mar-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Adaptive Integrated Methods, LLC" "400 Crutchfield Street, Suite A" Durham NC 27704 "400 Crutchfield Street, Suite A" Durham NC 27704 Durham (919)471-5474 120175 MHL-032-572 "Adaptive Integrated Methods, LLC" 22-Mar-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Adaptive Integrated Methods, LLC" "400 Crutchfield Street, Suite A" Durham NC 27704 "400 Crutchfield Street, Suite A" Durham NC 27704 Durham (919)471-5474 921416 MHL-034-004 "Addiction Recovery Care Association, Inc." 01-Oct-75 01-Jan-13 31-Dec-13 Type B 06-Aug-10 - - 7 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Addiction Recovery Care Association(ARCA) 1931 Union Cross Road Winston Salem NC 27107 1931 Union Cross Road Winston Salem NC 27107 Forsyth (336)784-9470 "Addiction Recovery Care Association, Inc." 921416 MHL-034-004 "Addiction Recovery Care Association, Inc." 01-Oct-75 01-Jan-13 31-Dec-13 Type B 06-Aug-10 - - 36 27G.3400 Residential Treatment/Rehabilitation A SAS RESIDENTL Addiction Recovery Care Association(ARCA) 1931 Union Cross Road Winston Salem NC 27107 1931 Union Cross Road Winston Salem NC 27107 Forsyth (336)784-9470 "Addiction Recovery Care Association, Inc." 921416 MHL-034-004 "Addiction Recovery Care Association, Inc." 01-Oct-75 01-Jan-13 31-Dec-13 Type B 06-Aug-10 - - 12 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL Addiction Recovery Care Association(ARCA) 1931 Union Cross Road Winston Salem NC 27107 1931 Union Cross Road Winston Salem NC 27107 Forsyth (336)784-9470 "Addiction Recovery Care Association, Inc." 921416 MHL-034-004 "Addiction Recovery Care Association, Inc." 01-Oct-75 01-Jan-13 31-Dec-13 Type B 06-Aug-10 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Addiction Recovery Care Association(ARCA) 1931 Union Cross Road Winston Salem NC 27107 1931 Union Cross Road Winston Salem NC 27107 Forsyth (336)784-9470 "Addiction Recovery Care Association, Inc." 921416 MHL-034-004 "Addiction Recovery Care Association, Inc." 01-Oct-75 01-Jan-13 31-Dec-13 Type B 06-Aug-10 - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Addiction Recovery Care Association(ARCA) 1931 Union Cross Road Winston Salem NC 27107 1931 Union Cross Road Winston Salem NC 27107 Forsyth (336)784-9470 "Addiction Recovery Care Association, Inc." 921416 MHL-034-004 "Addiction Recovery Care Association, Inc." 01-Oct-75 01-Jan-13 31-Dec-13 Type B 06-Aug-10 - - 12 27G.5000 Facility Crisis Svcs. for all Disability Groups A MD RESIDENTL Addiction Recovery Care Association(ARCA) 1931 Union Cross Road Winston Salem NC 27107 1931 Union Cross Road Winston Salem NC 27107 Forsyth (336)784-9470 "Addiction Recovery Care Association, Inc." 922844 MHL-041-048 Addie A. Watson 01-Apr-88 01-Jan-13 31-Dec-13 - - - - 6 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF Watson's Group Home PO Box 20084 Greensboro NC 27420 1310 Elwell Avenue Greensboro NC 27420 Guilford (336)275-1461 Addie A Watson 040694 MHL-041-731 Adolescent Alternatives 05-Aug-04 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Adolescent Alternatives PO Box 16162 Greensboro NC 27416 2207 Long Brook Drive Greensboro NC 27406 Guilford (336)370-9876 130074 MHL-041-1070 "Adolescent Alternatives, LLC" 11-Mar-13 11-Mar-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Adolescent Alternatives- S.T.A.N.D. PO Box 16162 Greensboro NC 27416 2302-106 W Meadowview Road Greensboro NC 27407 Guilford (336)215-6530 Adolescent Alternatives LLC 090652 MHL-076-099 Adult Day & Respite Care Center 26-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Adult Day & Respite Care Center "313-E Trindale Road, Suite #101" Archdale NC 27263 "313-E Trindale Road, Suite #101" Archdale NC 27263 Randolph (336)852-8338 Joanne Cagle 921419 MHL-018-019 "Adult Life Programs, Inc." 08-Feb-90 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI RESIDENTL "Adult Life Programs, Inc." PO Box 807 Hickory NC 28603 211 2nd Avenue Pl./PO Box 275 Conover NC 28613 Catawba (828)464-0078 100844 MHL-053-064 "Advance Behavioral Center, Inc." 27-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Advance Behavioral Center, Inc." 317 Chatham Street Sanford NC 27330 2505 Fayetteville Street Sanford NC 27330 Lee (919)777-0214 061318 MHL-054-155 "Advance Behavioral Health Services, Inc." 03-Feb-11 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ABHS 4124 NORTHFORK P.O. Box 789 Kinston NC 28502 4124 Northfork Drive LaGrange NC 28551 Lenoir (252)566-0375 "Advance Behavioral Health Services, Inc." 030129 MHL-054-156 "Advance Behavioral Health Services, Inc." 22-Feb-11 22-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Advance Behavioral Health Services P.O. Box 789 Kinston NC 28502 2840 Lisa Lane Kinston NC 28501 Lenoir (252)527-4957 120135 MHL-054-154 "Advance Behavioral Health Services, Inc." 17-Feb-10 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY "Advance Behavioral Health Services, Inc." PO Box 789 Kinston NC 28502 2906 Hull Road Kinston NC 28504 Lenoir (252)526-7375 061193 MHL-076-055 "Advanced Health Resources, Inc." 14-Jul-00 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Overlook 1224 Copeland Oaks Drive Morrisville NC 27560 1342 NC Hwy 42 East Asheboro NC 27205 Randolph (336)672-3390 Kim Saunders 060648 MHL-092-715 "Advanced Health Resources, Inc." 09-Jul-08 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Dominion Home 1224Copeland Oaks Drive Morrisville NC 27560 9425 Cartersville Court Raleigh NC 27613 Wake (919)844-3417 Dominion Home 041441 MHL-092-724 "Advanced Health Resources, Inc." 01-Sep-08 01-Jan-13 31-Dec-13 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Fanny Brown 1224 Copeland Oaks Drive Morrisville NC 27560 10909 Fanny Brown Road Raleigh NC 27603 Wake (919)661-7121 Amy M. Stevens 080706 MHL-078-274 "Advantage Behavioral Healthcare, Inc." 07-Dec-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL&A MI DAY Chaparral Youth Services 16 Stanley Street Pembroke NC 28372 56 Three Hunts Drive Pembroke NC 28372 Robeson (910)521-7288 Sheree L. Sampson 100400 MHL-078-294 "Advantage Behavioral Healthcare, Inc." 07-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Advantage Behavioral Healthcare 732 Davis Avenue Whiteville NC 28472 609 Harry West Lane Ext. Pembroke NC 28372 Robeson (910)640-1038 Advantage Behavioral Healthcare 040700 MHL-091-069 "Advantage Care In Home Services, Inc." 22-Sep-04 01-Jan-13 31-Dec-13 Type B 03-Jan-11 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Advantage Care Community Services PO Box 1258 Henderson NC 27536 476 Lynnbank Road Henderson NC 27536 Vance (252)430-1792 "Advantage Care Community Svcs, Inc." 090921 MHL-091-081 "Advantage Care In Home Services, Inc." 01-Mar-07 01-Jan-13 31-Dec-13 - - - - 0 27G.5500 Sheltered Workshops A MD DAY Advantage Care Vocational Center PO Box 1258 Henderson NC 27536 265 Satterwhite Point Road Henderson NC 27537 Vance (252)433-0007 "Advantage Care In Home Services, Inc." 090846 MHL-017-025 "Advantage Care In Home Services, Inc." 02-Nov-12 01-Jan-13 31-Dec-13 - - - - 0 27G.5500 Sheltered Workshops A MD DAY Advantage Care Community Services PO Box 1258 Henderson NC 27536 200 East Church Street Yanceyville NC 27379 Caswell (336)694-1811 "Advantage Care In Home Services, Inc." 110542 MHL-020-056 "Advantage Care Services, Inc." 08-Dec-11 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Cline Home of WNC 226 Charlotte Hwy Asheville NC 28801 184 Ridgecrest Avenue Marble NC 28905 Cherokee (828)837-3372 "Advantage Care Services, Inc." 091012 MHL-039-039 "Advantage Care in Home Services, Inc." 28-May-10 01-Jan-13 31-Dec-13 Type A 04-Oct-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Advantage Care Community Services P.O. BOX 1258 Henderson NC 27536 5079 Old Oxford Highway 75 Oxford NC 27565 Granville (919)693-8253 "Advantage Care Community Services, Inc." 051285 MHL-050-030 "Advantage Home and Community Care, Inc." 23-Oct-97 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Snyder Home 275 North Haywood Street Waynesville NC 28786 1097 Pumpkintown Road Sylva NC 28779 Jackson (828)631-0155 070752 MHL-056-022 "Advantage Home and Community Care, Inc." 16-Dec-07 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Postell Home 120 Viewpoint Drive Murphy NC 28906 3161 Big Choga Road Topton NC 28781 Macon (828)321-5428 Advantage Home and Community Care 041143 MHL-092-622 "Agape Family Care Homes, LLC" 10-Nov-04 01-Jan-13 31-Dec-13 Type B 15-Jun-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Agape Family Care Homes, LLC" PO Box 14963 Raleigh NC 27620 2336 Ravenhill Drive Raleigh NC 27615 Wake (919)790-1016 Agape House 3 070660 MHL-092-697 "Agape Family Care Homes, LLC" 28-Nov-07 01-Jan-13 31-Dec-13 Type A 20-Jan-09 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Agape House - Cary PO Box 14963 Raleigh NC 27620 604 South East Maynard Road Cary NC 27511 Wake (919)467-2416 Agape House - Cary 021033 MHL-041-688 "Agape Homes, Inc." 11-Aug-03 01-Jan-13 31-Dec-13 Intent to Revoke 18-Mar-13 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Agape Homes Inc. 3214 Pine Neddles Rd. High Point NC 27265 3214 Pine Needles Road High Point NC 27265 Guilford (336)887-4373 Ugo Chukwuma 110929 MHL-041-996 "Agape Homes, Inc." 02-Dec-10 01-Jan-13 31-Dec-13 Type A 07-Dec-12 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Agape Homes, Inc." "1232 N. Main St., Ste. 101" High Point NC 27262 "1232 North Main Street, Suite 102" High Point NC 27262 Guilford (336)884-1475 111027 MHL-041-960 "Agape Homes, Inc." 27-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Agape Homes, Inc. Psychosocial Rehabilitation" "1232 N. Main St., Ste. 101" High Point NC 27262 "1232 North Main Street, Suite 101" High Point NC 27262 Guilford (336)884-1475 "Agape Homes, Inc." 011160 MHL-090-126 "Agape Services, Inc." 24-Oct-01 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Next Generation Educational & SAIOP Treatment Center PO Box 3319 Monroe NC 28111 410 John Street Monroe NC 28110 Union (704)225-0584 011160 MHL-090-126 "Agape Services, Inc." 24-Oct-01 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Next Generation Educational & SAIOP Treatment Center PO Box 3319 Monroe NC 28111 410 John Street Monroe NC 28110 Union (704)225-0584 020442 MHL-018-066 "Agape Services, Inc." 07-Aug-10 01-Jan-13 31-Dec-13 - - - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Kincaid Home 806 Circle Drive Monroe NC 28112-3800 1822 Kincaid Court Hickory NC 28602 Catawba (828)294-0731 "Agape Services, Inc." 960016 MHL-090-049 "Agape Services, Inc." 24-Jul-96 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Agape I PO Box 3319 Monroe NC 28111 504 Colony Road Monroe NC 28112 Union (704)225-8910 Agape Services Inc. 980325 MHL-090-073 "Agape Services, Inc." 19-Feb-98 01-Jan-13 31-Dec-13 - - - - 3 27G.1300 Residential Treatment Level II C MI RESIDENTL Agape II PO Box 3319 Monroe NC 28111 1008 Griffith Road Monroe NC 28112 Union (704)225-0584 040729 MHL-090-150 "Agape Services, Inc." 23-Oct-02 01-Jan-13 31-Dec-13 Type B 05-Jul-07 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Agape-Windsor PO Box 3319 Monroe NC 28111 907 Windsor Street Monroe NC 28112 Union (704)776-9106 Agape Services Inc. 120136 MHL-004-031 "Agape Services, Inc." 03-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment ADOL MI DAY Next Generation Educational-SAIOP Treatment Center-East PO Box 3319 Monroe NC 28111-3319 201 West Morgan Street Wadesboro NC 28170 Anson (704)694-6597 "Agape Services, Inc." 120136 MHL-004-031 "Agape Services, Inc." 03-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL SAS DAY Next Generation Educational-SAIOP Treatment Center-East PO Box 3319 Monroe NC 28111-3319 201 West Morgan Street Wadesboro NC 28170 Anson (704)694-6597 "Agape Services, Inc." 090219 MHL-026-874 "Agape Unit Care Services, Inc." 12-Jun-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Agape Unit Care Services, Inc." PO Box 40954 Fayetteville NC 28314 868 Amye Street Fayetteville NC 28314 Cumberland (910)527-9717 "Agape Unit Care Services, Inc." 070419 MHL-001-159 "Alamance Academy, LLC" 01-May-08 01-Jan-13 31-Dec-13 - - - - 5 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL "Alamance Academy, LLC" 147 E Fifth Street Burlington NC 27215 147 East 5th Street Burlington NC 27215 Alamance (336)227-2948 Mollissie Bingham / Cynthia Howard 120506 MHL-001-230 "Alamance Academy, LLC" 12-Apr-13 12-Apr-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Alamance Academy 2909 Armfield Avenue Burlington NC 27215 530 Rosenwald Street Burlington NC 27215 Alamance (336)395-8969 "Alamance Academy, LLC" 110924 MHL-033-107 Albert Telfair and Debbie Telfair 06-Jan-12 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Open Hearts 509 Beasley Street Princeville NC 27886 509 Beasley Street Princeville NC 27886 Edgecombe (252)641-4005 Albert Telfair & Debbie Telfair 010574 MHL-041-553 "Alberta Professional Services, Inc." 01-Jul-99 01-Jan-13 31-Dec-13 Type B 26-Jan-06 - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MR/DD RESIDENTL Stonesthrow Group Home PO Box 14884 Greensboro NC 27415 3978 Lewiston Road Summerfield NC 27358 Guilford (336)273-2640 "Alberta Professional Svcs, Inc." 980060 MHL-041-068 "Alberta Professional Services, Inc." 01-Dec-89 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL A Positive Solution P.O. Box 14884 Greensboro NC 27415 5709 Northlake Drive Greensboro NC 27410 Guilford (336)273-2640 Alberta Professional Svcs. Inc. 960346 MHL-041-164 "Alberta Professional Services, Inc." 26-Jul-96 01-Jan-13 31-Dec-13 Type B 12-Sep-08 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Alamance House PO Box 14884 Greensboro NC 27415 1473 Alamance Church Road Greensboro NC 27406 Guilford (336)273-2640 Alberta Professional Services 980348 MHL-041-152 "Alberta Professional Services, Inc." 08-Apr-96 01-Jan-13 31-Dec-13 Type B 23-Dec-09 - - 6 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Heartwood Family Care PO Box 14884 Greensboro NC 27415 5921 Bush Road Brown Summit NC 27214 Guilford (336)273-2640 "Alberta Professional Services, Inc." 080416 MHL-041-874 "Alberta Professional Services, Inc." 01-Oct-08 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Autumn House PO Box 14884 Greensboro NC 27415 3902 Derbyshire Drive Greensboro NC 27408 Guilford (336)288-7360 "Alberta Professional Services, Inc." 921683 MHL-019-055 "Alberta Professional Services, Inc." 01-Oct-08 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Booth Road Group Home PO Box 14884 Greensboro NC 27415 130 Booth Road Chapel Hill NC 27516 Chatham (919)967-5591 "Alberta Professional Services, Inc." 051027 MHL-068-139 "Alberta Professional Services, Inc." 01-Oct-08 01-Jan-13 31-Dec-13 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Homestead Place PO Box 14884 Greensboro NC 27415 2032 Homestead Road Chapel Hill NC 27516 Orange (919)240-5016 Tom Duehring 110869 MHL-065-236 "Alberta Professional Services, Inc." 04-Nov-11 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY New Directions "1155 Revolution Mill Dr., Studio 5" Greensboro NC 27405 "140 Cinema Drive, Units A and B" Wilmington NC 28403 New Hanover (910)341-3003 "Alberta Professional Services, Inc." 120250 MHL-030-032 "Alberta Professional Services, Inc." 17-Jul-12 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Drouillard Home 1328 NC Highway 801 N Advance NC 27006 1328 NC Highway 801 N Advance NC 27006 Davie (336)998-4705 "Alberta Professional Services, Inc." 110129 MHL-011-347 "Alberta Professional Services, Inc." 16-Aug-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL New York Home PO Bo x14884 Greensboro NC 27415 11 Wapiti Court Candler NC 28715 Buncombe (828)667-2950 "Alberta Professional Services, Inc." 120363 MHL-011-348 "Alberta Professional Services, Inc." 16-Aug-12 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL DB Residential Services PO Box 14884 Greensboro NC 27415 746 Old US Hwy 70 Swannanoa NC 28778 Buncombe (828)581-0026 "Alberta Professional Services, Inc." 030133 MHL-080-194 "Alberta Professional Services, Inc." 16-Dec-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Vinson Care Home PO Box 14884 Greensboro NC 27415 375 Virginia Avenue China Grove NC 28023 Rowan (704)856-8566 Alberta Professional Services 130136 MHL-041-932 "Alberta Professional Services, Inc." 04-Nov-09 01-Apr-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Alberta Care 3107 S. Elm-Eugene St. Greensboro CA 27406 3107 South Elm-Eugene Street Greensboro NC 27406 Guilford (336)373-3960 "Alberta Professional Services, Inc." 922827 MHL-076-083 Alcohol and Drug Services 05-Jul-06 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA NONE SAS DAY Alcohol and Drug Services-Walker Center 301 E. Washington St. Ste. 101 Greensboro NC 27401 842 East Pritchard Street Asheboro NC 27203 Randolph (336)633-7257 Lindsey Downing 922827 MHL-076-083 Alcohol and Drug Services 05-Jul-06 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program NONE SAS DAY Alcohol and Drug Services-Walker Center 301 E. Washington St. Ste. 101 Greensboro NC 27401 842 East Pritchard Street Asheboro NC 27203 Randolph (336)633-7257 Lindsey Downing 922827 MHL-076-083 Alcohol and Drug Services 05-Jul-06 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment NONE SAS DAY Alcohol and Drug Services-Walker Center 301 E. Washington St. Ste. 101 Greensboro NC 27401 842 East Pritchard Street Asheboro NC 27203 Randolph (336)633-7257 Lindsey Downing 951922 MHL-041-005 "Alcohol and Drug Services of Guilford, Inc." 01-Apr-86 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Alcohol and Drug Services-East 301 E. Washington St. Suite. 101 Greensboro NC 27401 301 E. Washington St. Suite. 101 Greensboro NC 27401 Guilford (336)333-6860 Lindsey Downing 951922 MHL-041-005 "Alcohol and Drug Services of Guilford, Inc." 01-Apr-86 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Alcohol and Drug Services-East 301 E. Washington St. Suite. 101 Greensboro NC 27401 301 E. Washington St. Suite. 101 Greensboro NC 27401 Guilford (336)333-6860 Lindsey Downing 951922 MHL-041-005 "Alcohol and Drug Services of Guilford, Inc." 01-Apr-86 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Alcohol and Drug Services-East 301 E. Washington St. Suite. 101 Greensboro NC 27401 301 E. Washington St. Suite. 101 Greensboro NC 27401 Guilford (336)333-6860 Lindsey Downing 951922 MHL-041-005 "Alcohol and Drug Services of Guilford, Inc." 01-Apr-86 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Alcohol and Drug Services-East 301 E. Washington St. Suite. 101 Greensboro NC 27401 301 E. Washington St. Suite. 101 Greensboro NC 27401 Guilford (336)333-6860 Lindsey Downing 922515 MHL-001-122 "Alcohol and Drug Services of Guilford, Inc." 12-Aug-03 01-Jan-13 31-Dec-13 Type B 18-Feb-08 - - 0 27G.3700 Day Treatment for SA C&A SAS DAY Alcohol and Drug Services "301 E. Washington St., Ste. 101" Greensboro NC 27401 2140 North Church Street Burlington NC 27217 Alamance (336)532-0500 Lindsey Downing 922515 MHL-001-122 "Alcohol and Drug Services of Guilford, Inc." 12-Aug-03 01-Jan-13 31-Dec-13 Type B 18-Feb-08 - - 0 27G.3600 Outpatient Methadone C&A SAS DAY Alcohol and Drug Services "301 E. Washington St., Ste. 101" Greensboro NC 27401 2140 North Church Street Burlington NC 27217 Alamance (336)532-0500 Lindsey Downing 922515 MHL-001-122 "Alcohol and Drug Services of Guilford, Inc." 12-Aug-03 01-Jan-13 31-Dec-13 Type B 18-Feb-08 - - 0 27G.3300 Outpatient Detoxification C&A SAS DAY Alcohol and Drug Services "301 E. Washington St., Ste. 101" Greensboro NC 27401 2140 North Church Street Burlington NC 27217 Alamance (336)532-0500 Lindsey Downing 922515 MHL-001-122 "Alcohol and Drug Services of Guilford, Inc." 12-Aug-03 01-Jan-13 31-Dec-13 Type B 18-Feb-08 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&A SAS DAY Alcohol and Drug Services "301 E. Washington St., Ste. 101" Greensboro NC 27401 2140 North Church Street Burlington NC 27217 Alamance (336)532-0500 Lindsey Downing 921427 MHL-041-034 "Alcoholics' Home, Inc." 26-Jun-87 01-Jan-13 31-Dec-13 Type B 08-Jun-11 - - 30 27G.5600E Supervised Living SA Adult A SAS RESIDENTL "Alcoholics' Home, Inc.-""House of Prayer""" 5884 Riverdale Drive Jamestown NC 27282 5884 Riverdale Drive Jamestown NC 27282 Guilford (336)882-1026 "Alcoholic's Home, Inc." 001550 MHL-036-002 Alexander Youth Network 09-Nov-00 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C MI DAY Alexander Youth Network-Beacon Hall 6220 Thermal Road Charlotte NC 28211 1904 Dallas-Cherryville Hwy Dallas NC 28034 Gaston (704)922-9115 Jennifer Green 921429 MHL-060-059 Alexander Youth Network 01-Dec-83 01-Jan-13 31-Dec-13 - - - - 12 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI DAY&RESL Alexander Youth Network - PRTF 6220 Thermal Rd. Charlotte NC 28211 6220 Thermal Road Charlotte NC 28211 Mecklenburg (704)366-8712 051152 MHL-060-968 Alexander Youth Network 01-Nov-05 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Alexander Youth Network - Charlotte Day Treatment 6220 Thermal Rd Charlotte NC 28211 6220-D Thermal Rd Charlotte NC 28211 Mecklenburg (704)366-8712 051148 MHL-060-969 Alexander Youth Network 01-Nov-05 01-Jan-13 31-Dec-13 - - - - 6 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Alexander Youth Network - Oak Unit 6220 Thermal Rd. Charlotte NC 28211 6220-A Thermal Rd. Charlotte NC 28211 Mecklenburg (704)366-8712 051146 MHL-060-970 Alexander Youth Network 01-Nov-05 01-Jan-13 31-Dec-13 Type B 27-May-11 - - 6 27G .1900 Residential Treatment Level III C&ADOL MI RESIDENTL Alexander Youth Network - Nisbet Unit 6220 Thermal Rd Charlotte NC 28211 6220-C Thermal Rd. Charlotte NC 28211 Mecklenburg (704)366-8712 051146 MHL-060-970 Alexander Youth Network 01-Nov-05 01-Jan-13 31-Dec-13 Type B 27-May-11 - - 6 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Alexander Youth Network - Nisbet Unit 6220 Thermal Rd Charlotte NC 28211 6220-C Thermal Rd. Charlotte NC 28211 Mecklenburg (704)366-8712 051150 MHL-060-1117 Alexander Youth Network 27-Oct-09 01-Jan-13 31-Dec-13 - - - - 6 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Alexander Youth Network - Elm Unit 6220 Thermal Rd Charlotte NC 28211 6220-D Thermal Rd Charlotte NC 28211 Mecklenburg (704)366-8712 Alexander Youth Network 051149 MHL-060-972 Alexander Youth Network 01-Nov-05 01-Jan-13 31-Dec-13 Type B 03-Sep-10 - - 6 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Alexander Youth Network - Dickson Unit 6220 Thermal Rd Charlotte NC 28211 6220-B Thermal Rd Charlotte NC 28211 Mecklenburg (704)366-8712 060432 MHL-023-157 Alexander Youth Network 21-Aug-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Alexander Youth Network-Shelby Day Treatment 6220 Thermal Road Charlotte NC 28211 "1201 South Post Road Suite 2,8,9,10,11" Shelby NC 28152 Cleveland (704)482-4800 Alexander Youth Network 921241 MHL-081-086 Alexander Youth Network 01-Jul-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Alexander Youth Network-Rutherford Day Treatment 6220 Thermal Road Charlotte NC 28211 515 E. Main Street Spindale NC 28160 Rutherford (828)286-2040 Alexander Youth Network 100857 MHL-013-154 Alexander Youth Network 27-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Alexander Youth Network - Furr Day Treatment 6220 Thermal Road Charlotte NC 28211 2725 Clover Road Northwest Concord NC 28027 Cabarrus (704)788-4300 Alexander Youth Network 110025 MHL-036-288 Alexander Youth Network 20-Jan-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Alexander Youth Network-Warlick Day Treatment 6220 Thermal Road Charlotte NC 28211 1316 Spencer Mountain Road Gastonia NC 28054 Gaston (704)824-3012 Alexander Youth Network 060820 MHL-014-050 Alger Laverne Harper 06-Sep-00 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA NONE SAS DAY A New Dimension Substance Abuse Counseling Service PO Box 1026 Lenoir NC 28645 116 Main Street Lenoir NC 28645 Caldwell (828)759-2921 A New Dimension 020920 MHL-092-543 Alice P. Langley 10-Jul-03 01-Jan-13 31-Dec-13 - - - - 3 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL Ma Alice's Tranquil Home 112 Lord Berkley Road Raleigh NC 27610 106 Lord Berkley Road Raleigh NC 27610 Wake (919)833-4529 Alice Langley 020920 MHL-092-543 Alice P. Langley 10-Jul-03 01-Jan-13 31-Dec-13 - - - - 3 27G.5100 Community Respite Services C&ADOL MI RESIDENTL Ma Alice's Tranquil Home 112 Lord Berkley Road Raleigh NC 27610 106 Lord Berkley Road Raleigh NC 27610 Wake (919)833-4529 Alice Langley 030534 MHL-054-111 Alicetine Phillips Rouse 23-Sep-04 01-Jan-13 31-Dec-13 - - - - 9 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hills DDA Group Home #2 PO Box 5425 Kinston NC 28503 2017 East Ridge Circle Kinston NC 28501 Lenoir (252)522-4869 011012 MHL-025-027 Alisanne M. Girard 20-Oct-06 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Ali Girards Home 1920 Jimmy's Road New Bern NC 28560 1920 Jimmy's Road New Bern NC 28560 Craven (252)514-2956 Alisanne M. Girard 070882 MHL-041-880 "All About You Residential Home Care, LLC" 29-Oct-08 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL All About You Residential Home Care LLC PO Box 964 High Point NC 27260 1103 Carter Street High Point NC 27260 Guilford (336)884-0963 Ethel Murray 120385 MHL-001-162 "All God's Children of Burlington, LLC" 01-Aug-08 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL All God's Children of Burlington 325 N. Sellars Mill Road Burlington NC 27217 101 Ruby Lane Haw River NC 27258 Alamance (336)227-9594 960761 MHL-003-007 "Alleghany County Group Homes, Inc." 23-Sep-96 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Samuel C. Evans Jr. Group Home P.O. Box 488 Sparta NC 28675 53 Estep Street Sparta NC 28675 Alleghany (336)372-4738 921434 MHL-003-002 "Alleghany Group Homes, Inc." 01-Apr-85 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Alleghany Group Homes, Inc., ADAP" P.O. Box 488 Sparta NC 28675 133 Health Services Rd. Sparta NC 28675 Alleghany (336)372-5671 120134 MHL-060-1264 "Alliance Health and Human Services, Inc." 15-Apr-13 15-Apr-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Alliance Day Activity 9009-101 PMB 308 Albemarle Rd Charlotte NC 28227 5500 Executive Drive - Suite 204 Charlotte NC 28212 Mecklenburg (704)535-4342 "Alliance Health and Human Services, Inc." 922546 MHL-091-006 "Alliance Rehabilitative Care, Inc." 17-Mar-88 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation NONE NONE DAY A.D.P. Center PO Box 748 Henderson NC 27536 940 County Home Road Henderson NC 27536 Vance (252)492-0328 "Alliance Rehabilitative Care, Inc." 921417 MHL-091-013 "Alliance Rehabilitative Care, Inc." 01-Mar-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Addiction Recovery Center for Women PO Box 748 Henderson NC 27536 320 Pettigrew Street Henderson NC 27536 Vance (252)430-0126 "Alliance Rehabilitative Care, Inc." 960385 MHL-093-025 "Alliance Rehabilitative Care, Inc." 12-Mar-98 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Warren Street PO Box 748 Henderson NC 27536 200 Warren Street Warrenton NC 27589 Warren (252)257-3004 "Alliance Rehabilitative Care, Inc." 080713 MHL-091-086 "Alliance Rehabilitative Care, Inc." 24-Oct-08 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Back On Track PO Box 748 Henderson NC 27536 "855 South Beckford Drive, Suite C" Henderson NC 27536 Vance (252)438-5667 "Alliance Rehabilitative Care, Inc." 091060 MHL-024-083 "Allied Behavioral Management, Inc." 12-Jan-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Allied Behavioral Management, Inc." 603 Pecan Lane Whiteville NC 28472 603 Pecan Lane Whiteville NC 28472-2949 Columbus (910)640-2021 Larry W. Cribb 091060 MHL-024-083 "Allied Behavioral Management, Inc." 12-Jan-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Allied Behavioral Management, Inc." 603 Pecan Lane Whiteville NC 28472 603 Pecan Lane Whiteville NC 28472-2949 Columbus (910)640-2021 Larry W. Cribb 101218 MHL-001-138 "Allied Churches of Alamance County, Inc." 23-Aug-06 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Allied Churches Drop-In Center 206 Fisher Street Burlington NC 27217 "620 Rauhut Street, Highway 62" Burlington NC 27217 Alamance (336)570-0851 "Allied Churches of Alamance County, Inc." 080379 MHL-092-727 Alpha Home Care Services Inc. 16-Sep-08 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Alpha Home Care Service PO Box 41153 Raleigh NC 27629 3612 Carolyn Drive Raleigh NC 27604 Wake (919)954-6022 Juliet Okwoshah 090597 MHL-092-749 Alpha Home Care Services Inc. 25-Sep-09 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Alpha Home Care Services Inc. II PO Box 41153 Raleigh NC 27629 4517 Waterbury Road Raleigh NC 27604 Wake (919)819-3882 Alpha Home Care Services Inc. 100889 MHL-092-791 Alpha Home Care Services Inc. 05-Oct-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Alpha Home Care Services, Inc. III" PO Box 41153 Raleigh NC 27629 3716 Arrowwood Drive Raleigh NC 27604 Wake (919)819-3882 "Alpha Home Care Services, Inc." 110359 MHL-092-819 Alpha Home Care Services Inc. 15-Jul-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Alpha Home Care Services, Inc. IV" PO Box 41153 Raleigh NC 27629 613 Ellynn Drive Cary NC 27511 Wake (919)819-3882 "Alpha Home Care Services, Inc." 110911 MHL-092-832 Alpha Home Care Services Inc. 22-Dec-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Alpha Home Care Services Inc. VI PO Box 41153 Raleigh NC 27629 105 Oakwood Drive Wake Forest NC 27587 Wake (919)435-1649 "Alpha Home Care Services, Inc." 020782 MHL-041-673 "Alternative Behavioral Solutions, Inc." 06-Jun-03 01-Jan-13 31-Dec-13 Type B 22-Dec-10 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL James El Parrish 157 Blue Bell Road Greensboro NC 27406 3601 Amos Drive Greensboro NC 27405 Guilford (336)370-9400 Alternative Behavioral Solutions 110026 MHL-041-1027 "Alternative Behavioral Solutions, Inc." 23-Aug-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Alternative Behavioral Solutions 157 Blue Bell Road Greensboro NC 27406 157 Blue Bell Road Greensboro NC 27406 Guilford (336)370-9400 "Alternative Behavioral Solutions, Inc." 110026 MHL-041-1027 "Alternative Behavioral Solutions, Inc." 23-Aug-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY Alternative Behavioral Solutions 157 Blue Bell Road Greensboro NC 27406 157 Blue Bell Road Greensboro NC 27406 Guilford (336)370-9400 "Alternative Behavioral Solutions, Inc." 080793 MHL-026-839 "Alternative Care Treatment Systems, Inc." 26-Jun-07 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Alternative Care Substance Abuse Services PO Box 1261 Fayetteville NC 28302 "907 Hay Street, Suite 203" Fayetteville NC 28305 Cumberland (910)438-0939 "Alternative Care Treatment Systems, Inc." 080793 MHL-026-839 "Alternative Care Treatment Systems, Inc." 26-Jun-07 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Alternative Care Substance Abuse Services PO Box 1261 Fayetteville NC 28302 "907 Hay Street, Suite 203" Fayetteville NC 28305 Cumberland (910)438-0939 "Alternative Care Treatment Systems, Inc." 100158 MHL-098-146 "Alternative Care Treatment Systems, Inc." 23-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Alternative Care Treatment Systems 3307 Bragg Boulevard Fayetteville NC 28303 608 West Nash Street Wilson NC 27893 Wilson (252)291-2200 "Alternative Care Treatment Systems, Inc." 101252 MHL-026-917 "Alternative Care Treatment Systems, Inc." 08-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Alternative Care Treatment Systems 3307 Bragg Blvd. Fayetteville NC 28303 911 Hay Street Fayetteville NC 28305 Cumberland (910)438-0939 000176 MHL-026-927 "Alternative Care Treatment Systems, Inc." 01-May-12 01-Jan-13 31-Dec-13 Type B Imposed 20-Dec-12 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Chambersburg 907 Hay Street Fayetteville NC 28305 4528 Chambersburg Drive Fayetteville NC 28314 Cumberland (910)487-2421 "Alternative Care Treatment Systems, Inc." 942345 MHL-053-070 "Alternative Care Treatment Systems, Inc." 17-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY Alternative Day Program PO Box 1721 Fayetteville NC 28302 2515 Watson Avenue Sanford NC 27330 Lee (919)774-3786 "Alternative Care Treatment Systems, Inc." 110255 MHL-036-106 "Alternative Community Penalties Program, Inc." 09-Jun-97 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY "A.C.P.P., Inc./ Restorative Justice Center" PO Box 370 Gastonia NC 28053 "410 West Franklin Blvd., Suite 20" Gastonia NC 28052 Gaston (704)854-8598 "Alternative Community Penalties Program, Inc." 110255 MHL-036-106 "Alternative Community Penalties Program, Inc." 09-Jun-97 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "A.C.P.P., Inc./ Restorative Justice Center" PO Box 370 Gastonia NC 28053 "410 West Franklin Blvd., Suite 20" Gastonia NC 28052 Gaston (704)854-8598 "Alternative Community Penalties Program, Inc." 031068 MHL-036-297 "Alternative Community Penalties Program, Inc." 28-Apr-12 01-Jan-13 31-Dec-13 - - - - 20 27G.5600E Supervised Living SA Adult A SAS RESIDENTL "Cornerstone Christian Center/ACPP, Inc." PO Box 370 Gastonia NC 28053 400 East Fifth Avenue Gastonia NC 28053 Gaston (704)867-8749 Alternative Community Penalties Programs Inc. 110934 MHL-011-345 Alternative Family Living Inc. 28-Feb-12 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Lipe House 303 Old Highway 20 Alexander NC 28701 85 Leet Sluder Road Leicester NC 28748 Buncombe (828)683-2104 Alternative Family Living Inc. 120051 MHL-081-095 Alternative Family Living Inc. 20-Apr-12 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Graceland 303 Old Hwy. 20 Alexander NC 28701 128 Chantilly Lane Forest City NC 28043 Rutherford (828)247-6071 Alternative Family Living Inc. 100865 MHL-057-029 "Alternative Family Living, Inc." 14-Jul-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Riverview Home 303 Old Highway 20 Alexander NC 28701 25 Dry Pond Road Marshall NC 28753 Madison (828)649-9893 "Alternative Family Living, Inc." 110462 MHL-045-107 "Alternative Family Living, Inc." 06-Dec-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Tara Bella's Home 303 Old Hwy. 20 Alexander NC 28701 282 Farm Valley Road Fletcher NC 28732 Henderson (828)273-9641 "Alternative Family Living, Inc." 090594 MHL-080-135 "Alternatives Counseling, Inc." 27-Sep-02 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Alternatives Counseling, Inc." 323 North Main Street Salisbury NC 28144 323 North Main Street Salisbury NC 28144 Rowan (704)639-1616 "Alternatives Counseling, Inc." 090594 MHL-080-135 "Alternatives Counseling, Inc." 27-Sep-02 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Alternatives Counseling, Inc." 323 North Main Street Salisbury NC 28144 323 North Main Street Salisbury NC 28144 Rowan (704)639-1616 "Alternatives Counseling, Inc." 922004 MHL-040-006 "Ambleside, Inc." 01-Dec-92 01-Jan-13 31-Dec-13 Type A 05-Nov-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hopewell 1 Industrial Drive Snow Hill NC 28580 292 Dogwood Lane Snow Hill NC 28580 Greene (252)747-5252 "Ambleside, Inc." 922032 MHL-040-004 "Ambleside, Inc." 01-Jun-91 01-Jan-13 31-Dec-13 Type A 19-Oct-06 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Indianhead 1 Industrial Drive Snow Hill NC 28580 1003 Indianhead Circle Snow Hill NC 28580 Greene (252)747-5252 "Ambleside, Inc." 944932 MHL-040-007 "Ambleside, Inc." 03-Jun-93 01-Jan-13 31-Dec-13 Type A 25-Sep-09 - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Dogwood 1 Industrial Drive Snow Hill NC 28580 212 Dogwood Lane Snow Hill NC 28580 Greene (252)747-5252 "Ambleside, Inc." 955458 MHL-040-009 "Ambleside, Inc." 08-Nov-94 01-Jan-13 31-Dec-13 Type B 17-Jan-12 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Fair Fax 1 Industrial Drive Snow Hill NC 28580 2535 Highway 903 South Snow Hill NC 28580 Greene (252)747-5252 "Ambleside, Inc." 970775 MHL-029-062 "Ambleside, Inc." 27-Jun-97 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Arlington House One Industrial Drive Snow Hill NC 28580 216 Agner Lane Lexington NC 27292 Davidson (336)224-2923 "Ambleside, Inc." 060876 MHL-040-033 "Ambleside, Inc." 12-Feb-03 01-Jan-13 31-Dec-13 Type A 24-Oct-07 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hamilton 1 Industrial Drive Snow Hill NC 27888 45 Speights Bridge Road Walstonburg NC 27888 Greene (252)753-5384 060102 MHL-054-117 "Ambleside, Inc." 07-Apr-06 01-Jan-13 31-Dec-13 Type B 05-Apr-13 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Baltimore 1 Industrial Drive Snow Hill NC 28580 1932 Old Colony Rd. Kinston NC 28501 Lenoir (252)522-3582 921441 MHL-040-005 "Ambleside, Inc." 01-Jan-95 01-Jan-13 31-Dec-13 Type A 22-Jun-09 - - 0 27G.2300 Adult Developmental Vocational Programs NONE MR/DD DAY Ambleside 1 Industrial Drive Snow Hill NC 28580 1 Industrial Drive Snow Hill NC 28580 Greene (252)747-5252 "Ambleside, Inc." 921441 MHL-040-005 "Ambleside, Inc." 01-Jan-95 01-Jan-13 31-Dec-13 Type A 22-Jun-09 - - 0 27G.5400 Day Activity NONE MR/DD DAY Ambleside 1 Industrial Drive Snow Hill NC 28580 1 Industrial Drive Snow Hill NC 28580 Greene (252)747-5252 "Ambleside, Inc." 921441 MHL-040-005 "Ambleside, Inc." 01-Jan-95 01-Jan-13 31-Dec-13 Type A 22-Jun-09 - - 0 27G.5500 Sheltered Workshops NONE MR/DD DAY Ambleside 1 Industrial Drive Snow Hill NC 28580 1 Industrial Drive Snow Hill NC 28580 Greene (252)747-5252 "Ambleside, Inc." 990038 MHL-029-122 "Ambleside, Inc." 24-Aug-11 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY Ambleside Adult Day Program 670-B Radio Drive Lexington NC 27292 670-B Radio Drive Lexington NC 27292 Davidson (336)224-2923 Donna Brock 120351 MHL-029-054 "Ambleside, Inc." 01-Oct-96 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Oak Hill House 670-C Radio Drive Lexington NC 27292 144 Oak Hill Drive North Point Lexington NC 27292 Davidson (336)224-2923 "Ambleside, Inc." 120529 MHL-029-125 "Ambleside, Inc." 16-Jan-13 16-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Oak Hill 2 670-C Radio Drive Lexington NC 27292 140 & 142 Oak Hill Drive (North Point) Lexington NC 27295 Davidson (336)237-0849 "Ambleside, Inc." 080883 MHL-013-088 "Americare Developmental Services, Inc." 04-Dec-01 01-Jan-13 31-Dec-13 Type A 20-Sep-12 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Watch Place PO Box 217125 Charlotte NC 28221-0125 108 Kennedy Avenue Kannapolis NC 28083 Cabarrus (704)933-5882 Americare Developmental Services 070884 MHL-081-059 "Americare Developmental Services, Inc." 06-Apr-04 01-Jan-13 31-Dec-13 Type B 12-Apr-13 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Hardin House PO Box 217125 Charlotte NC 28221 166 Orchard Street Forest City NC 28043 Rutherford (828)247-4523 Americare Developmental Services / Tanis Watkins 070310 MHL-081-074 "Americare Developmental Services, Inc." 31-Aug-07 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Chase Place PO Box 217125 Charlotte NC 28221 313 Harrill Road Forest City NC 28043 Rutherford (828)245-4522 Americare Developmental Services 020698 MHL-074-130 Andre Levon Roberson and Dorothy Mae Roberson 04-Sep-02 01-Jan-13 31-Dec-13 Type B 29-Aug-11 - - 3 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL WeCare Residential Facility 1761 Roosevelt Spain Road Greenville NC 27834 1761 Roosevelt Spain Road Greenville NC 27834 Pitt (252)329-8813 Andre Roberson 060401 MHL-034-205 Angela Curry 25-Aug-06 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Friendly People that Care 1660 Reynolds Forest Road Winston- Salem NC 27107 1660 Reynolds Forest Road Winston-Salem NC 27107 Forsyth (336)788-1878 090774 MHL-034-248 Angela Curry 22-Oct-09 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Friendly People That Care Day Program 603 North Main Street Kernersville NC 27284 601 and 603 North Main Street Kernersville NC 2728 Forsyth (336)310-4794 Angela Curry 090581 MHL-034-249 Angela Curry 22-Oct-09 01-Jan-13 31-Dec-13 Type A 12-Jul-10 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Friendly People That Care 3 1660 Reynolds Forest Drive Winston-Salem NC 27107 6236 Blue Bonnet Lane Winston-Salem NC 27103 Forsyth (336)766-5686 Angela Danette Curry 040894 MHL-034-291 Angela Curry 23-Nov-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Friendly People That Care 4 601 N. Main St. Kernersville NC 27284 400 Corbin Street Winston-Salem NC 27107 Forsyth (336)785-0968 Angela Curry 111041 MHL-034-293 Angela Curry 17-Feb-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Friendly People That Care 5 603 N. Main Street Kernersville NC 27284 7015 Idols Road Clemmons NC 27012 Forsyth (336)602-2115 Angela Curry 080519 MHL-034-232 Angela Danette Curry 14-Oct-08 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Friendly People That Care 2 1660 Reynolds Forest Drive Winston-Salem NC 27107 4304 Oak Glen Drive Winston-Salem NC 27107 Forsyth (336)788-1878 Angela Danette Curry 011091 MHL-025-181 Angela Michelle Wynn 07-Dec-01 01-Jan-13 31-Dec-13 Intent to Revoke 02-Nov-06 - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Wynn Home 2240 College Street New Bern NC 28562 2240 College Street New Bern NC 28562 Craven (252)633-2066 Wynn Home 981099 MHL-078-138 "Angelo's Care Home, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Angelo's Care Home, Inc." 10091 US Highway 74 West Maxton NC 28364 10091 US Highway 74 West Maxton NC 28364 Robeson (910)521-1895 981099 MHL-078-138 "Angelo's Care Home, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services C&ADOL&A MI RESIDENTL "Angelo's Care Home, Inc." 10091 US Highway 74 West Maxton NC 28364 10091 US Highway 74 West Maxton NC 28364 Robeson (910)521-1895 030441 MHL-078-275 "Angelo's Care Home, Inc." 19-Apr-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Angelo's Care Home, Inc. II" 10091 US 74 West Maxton NC 28364 9431 NC Highway 211 West Red Springs NC 28358 Robeson (910)521-1895 030441 MHL-078-275 "Angelo's Care Home, Inc." 19-Apr-11 01-Jan-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services A MD RESIDENTL "Angelo's Care Home, Inc. II" 10091 US 74 West Maxton NC 28364 9431 NC Highway 211 West Red Springs NC 28358 Robeson (910)521-1895 130054 MHL-078-304 "Angelo's Care Home, Inc." 01-Mar-13 01-Mar-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY Angelo's Day Program 10089 US Hwy 74W Maxton NC 28364 10089 US Hwy 74W Maxton NC 28364 Robeson (910)521-1895 "Angelo's Care Home, Inc." 080518 MHL-071-024 Anita Garrison 15-Jun-09 01-Jan-13 31-Dec-13 Type B 17-Jul-12 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL William Luther Center 389 Manhollow Church Road Hampstead NC 28443 389 Manhollow Church Road Hampstead NC 28443 Pender (910)329-1378 Anita Garrison 041319 MHL-041-766 Ann Freeland-Witherspoon 06-Dec-05 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "The Berryman House, Inc." 223 Berryman Street Greensboro NC 27405 223 Berryman Street Greensboro NC 27405 Guilford (336)282-8492 010848 MHL-067-131 "Anna's Care, Inc." 17-Oct-01 01-Jan-13 31-Dec-13 Type B 27-Oct-08 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Anna's Care, Inc." 180 Coastal Lane Jacksonville NC 28546 413 Kenwood Drive Jacksonville NC 28540 Onslow (910)989-0820 070479 MHL-067-144 "Anna's Care, Inc." 07-Aug-02 01-Jan-13 31-Dec-13 Type A 31-Oct-12 - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sir Arthur 180 Coastal Lane Jacksonville NC 28546 409 South Shore Drive Jacksonville NC 28546 Onslow (910)346-7766 Linda Gibson 070479 MHL-067-144 "Anna's Care, Inc." 07-Aug-02 01-Jan-13 31-Dec-13 Type A 31-Oct-12 - - 1 27G.5100 Community Respite Services A MR/DD RESIDENTL Sir Arthur 180 Coastal Lane Jacksonville NC 28546 409 South Shore Drive Jacksonville NC 28546 Onslow (910)346-7766 Linda Gibson 061224 MHL-067-148 "Anna's Care, Inc." 05-Feb-03 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Rickey's Place 180 Coastal Lane t Jacksonville NC 28546 104 Lennox Circle Jacksonville NC 28540 Onslow (910)455-6724 "Anna's Care, Inc." 020694 MHL-067-168 "Anna's Care, Inc." 15-Dec-06 01-Jan-13 31-Dec-13 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Edna's Place 180 Coastal Lane Jacksonville NC 28546 131 Suffolk Circle Jacksonville NC 28546 Onslow (910)388-2725 "Anna's Care, Inc. - Linda Shorts Gibson" 061222 MHL-067-169 "Anna's Care, Inc." 31-Jan-07 01-Jan-13 31-Dec-13 Type A 16-Jun-10 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Beth's Place 180 Coastal Lane Jacksonville NC 28546 101 West Cameron Court Jacksonville NC 28546 Onslow (910)388-2842 "Anna's Care, Inc." 080001 MHL-067-177 "Anna's Care, Inc." 28-Mar-08 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL G & T's Place 180 Coastal Lane Jacksonville NC 28546 2671 Idlebrook Circle Midway Park NC 28544 Onslow (910)388-3137 Anna's Care Inc. / Linda Gibson 100888 MHL-067-159 "Anna's Care, Inc." 11-Jul-05 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY Ms. Ruthie's Learning Center 180 Coastal Lane Jacksonville NC 28546 180 Coastal Lane Jacksonville NC 28546 Onslow (910)353-6773 "Anna's Care, Inc." 100047 MHL-060-1146 "Another Level Counseling and Consultation, PLLC" 04-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Aspire - University Clubhouse PO Box 373 Harrisburg NC 28075 "1927 J N Pease Place, Suites 101, 102 and 104" Charlotte NC 28262 Mecklenburg (704)548-5298 Attn: Sonyia Richardson 100047 MHL-060-1146 "Another Level Counseling and Consultation, PLLC" 04-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Aspire - University Clubhouse PO Box 373 Harrisburg NC 28075 "1927 J N Pease Place, Suites 101, 102 and 104" Charlotte NC 28262 Mecklenburg (704)548-5298 Attn: Sonyia Richardson 110361 MHL-051-196 Anthony Erwin Underhill 22-Aug-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Quality Care Home 43 Valleyfield Drive Clayton NC 27527 43 Valleyfield Drive Clayton NC 27527 Johnston (919)585-2892 Anthony and Madalene Underhill 942729 MHL-060-1079 "Anuvia Prevention and Recovery Center, Inc." 01-Oct-08 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Anuvia Prevention and Recovery Center 100 Billingsley Road Charlotte NC 28211 100 Billingsley Road Charlotte NC 28211 Mecklenburg (704)376-7447 Larry Snider 942729 MHL-060-1079 "Anuvia Prevention and Recovery Center, Inc." 01-Oct-08 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Anuvia Prevention and Recovery Center 100 Billingsley Road Charlotte NC 28211 100 Billingsley Road Charlotte NC 28211 Mecklenburg (704)376-7447 Larry Snider 120296 MHL-060-1244 "Anuvia Prevention and Recovery Center, Inc." 20-Jun-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL SAS DAY Anuvia Prevention and Recovery Center 100 Billingsley Road Charlotte NC 28211-1072 "5855 Executive Center Drive, Suite 104" Charlotte NC 28212 Mecklenburg (980)321-5370 944713 MHL-068-131 "Apogee Homes, Inc." 03-Apr-07 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL APOGEE HOME TWO 4337 White Level Road Mebane NC 27302 7612 NC Highway 49 Mebane NC 27302 Orange (336)562-5576 051111 MHL-087-009 "Appalachian Community Services, Inc." 07-Aug-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Swain Foundations 750 Highway 64 Murphy NC 28906 1415 Fontana Road Bryson City NC 28713 Swain (828)488-1201 Appalachian Community Services 080643 MHL-020-049 "Appalachian Community Services, Inc." 22-Jan-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Foundations P.O. Box 444 Murphy NC 28906 750 Highway 64 West Murphy NC 28906 Cherokee (828)837-5309 "Appalachian Community Services, Inc." 930105 MHL-038-011 "Appalachian Community Services, Inc." 05-Feb-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Graham Foundations P.O. Box 444 Murphy NC 28906 536 Moose Branch Road Robbinsville NC 28771 Graham (828)479-7455 Appalachian Community Services 090412 MHL-020-051 "Appalachian Community Services, Inc." 08-Jun-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY SA Recovery PO Box 444 Murphy NC 28906 750 Highway 64 Murphy NC 28906 Cherokee (828)837-0071 D. Duncan Sumpter 922958 MHL-044-052 "Appalachian Community Services, Inc." 01-Jul-10 01-Jan-13 31-Dec-13 - - - - 12 27G.5000 Facility Crisis Svcs. for all Disability Groups A MI RESIDENTL The Balsam Center Adult Recovery Unit 91 Timberlane Waynesville NC 28786 91 Timberlane Road Waynesville NC 28786 Haywood (828)454-1098 "Appalachian Community Services, Inc." 090131 MHL-088-023 "Appalachian Outpatient Services, LLC" 27-Aug-09 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Tapestry Eating Disorder Program 11 North Country Club Rd. Brevard NC 28712 11 North Country Club Road Brevard NC 28712 Transylvania (828)884-2475 "Appalachian Outpatient Services, LLC" 100839 MHL-064-121 "Applied Behavioral Concepts for Families, LLC" 12-Nov-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Applied Behavioral Concepts for Families, LLC" 1828 Willow Glynn Road Rocky Mount NC 27804 "120 North Franklin Street, Unit I, Suite 100" Rocky Mount NC 27804 Nash (252)442-2000 100793 MHL-092-796 Arleana Harrison 10-Nov-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Foot Steps To Success 504 Thistlegate Trail Raleigh NC 27610 504 Thistlegate Trail Raleigh NC 27610 Wake (919)327-9804 Arleana Harrison 090521 MHL-078-256 "Asbury Homes, Inc." 11-May-10 01-Jan-13 31-Dec-13 Type A 17-May-11 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Asbury Homes - Pembroke 11337 Joe Brown Highway Tabor City NC 28463 300 Ruth Dial Street Pembroke NC 28372 Robeson (910)522-1115 "Asbury Homes, Inc." 921460 MHL-005-001 "Ashe County Adult Development Assoc., Inc." 01-Jan-91 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Ashe County ADVP P.O. Box 68 Lansing NC 28643 9448 Highway 194N Lansing NC 28643 Ashe (336)384-3718 091068 MHL-033-074 Ashley Davis 19-Mar-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Davis Farm Adult Group Home 2 236 Golden Valley Lane Battleboro NC 27809 236 Golden Valley Lane Battleboro NC 27809 Edgecombe (252)442-5000 Ashley Davis 110186 MHL-043-085 "Aspirations and Miracles Community Support, LLC" 28-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Aspirations and Miracles Community Support, LLC" PO Box 765 Dunn NC 28335 "701 East Broad Street, Suite E" Dunn NC 28334 Harnett (910)892-0000 110186 MHL-043-085 "Aspirations and Miracles Community Support, LLC" 28-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Aspirations and Miracles Community Support, LLC" PO Box 765 Dunn NC 28335 "701 East Broad Street, Suite E" Dunn NC 28334 Harnett (910)892-0000 110186 MHL-043-085 "Aspirations and Miracles Community Support, LLC" 28-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Aspirations and Miracles Community Support, LLC" PO Box 765 Dunn NC 28335 "701 East Broad Street, Suite E" Dunn NC 28334 Harnett (910)892-0000 100846 MHL-092-841 "Aspire Supportive & Counseling Services, LLC" 16-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation ADOL&A MI DAY "Aspire Supportive & Counseling Services, LLC" "136 E. Morgan Street, Suite 100" Raleigh NC 27601 219 A S. East Street Raleigh NC 27601 Wake (919)835-1888 100846 MHL-092-841 "Aspire Supportive & Counseling Services, LLC" 16-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Aspire Supportive & Counseling Services, LLC" "136 E. Morgan Street, Suite 100" Raleigh NC 27601 219 A S. East Street Raleigh NC 27601 Wake (919)835-1888 990844 MHL-044-046 "Aspire Youth & Family, Inc." 07-Jul-04 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Aspire Day Treatment PO Box 250 Balsam NC 28707 33 Sharon Lynne Way Clyde NC 28721 Haywood (828)452-1300 Aspire 990844 MHL-044-046 "Aspire Youth & Family, Inc." 07-Jul-04 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Aspire Day Treatment PO Box 250 Balsam NC 28707 33 Sharon Lynne Way Clyde NC 28721 Haywood (828)452-1300 Aspire 120502 MHL-045-109 "Aspire Youth & Family, Inc." 19-Oct-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Aspire Day (Henderson) 33 Sharon Lynne Way Clyde NC 28721 705 White Sparrow Drive Hendersonville NC 28792 Henderson (828)693-9444 "Aspire Youth & Family, Inc." 100341 MHL-065-211 "Assisted Care, Inc." 30-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Assisted Care, Inc." 1003 Olde Waterford Way Ste 2-C Leland NC 28451 3408 Wilshire Blvd. Ste 100 Wilmington NC 28451 New Hanover (910)763-9933 100341 MHL-065-211 "Assisted Care, Inc." 30-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Assisted Care, Inc." 1003 Olde Waterford Way Ste 2-C Leland NC 28451 3408 Wilshire Blvd. Ste 100 Wilmington NC 28451 New Hanover (910)763-9933 070522 MHL-092-859 Athonia Ezuma 21-Dec-12 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MI RESIDENTL Destiny Family Care Home 2 3232 Marcony Way Raleigh NC 27610 218 Westridge Drive Raleigh NC 27609 Wake (919)803-8602 Athonia Ezuma 080703 MHL-060-1083 "Austism Services of Mecklenburg County, Inc." 03-Nov-08 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY ASMC Day Activity Program 2211-A Executive Street Charlotte NC 28208 2231-E & F and 2223-E Executive Street Charlotte NC 28208 Mecklenburg (704)392-9220 "Autism Services of Mecklenburg County, Inc." 980670 MHL-060-468 Autism Services of Mecklenburg County Inc. 23-Jul-98 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Taylor Home 2211-A Executive Street Charlotte NC 28208 5026 Lansing Drive Charlotte NC 28270 Mecklenburg (704)365-4366 Autism Svcs of Meck Co Inc 921731 MHL-060-118 "Autism Services of Mecklenburg County, Inc." 01-Feb-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Dalmoor Drive Group Home 2211-A Executive Street Charlotte NC 28208-3655 4400 Dalmoor Drive Charlotte NC 28212 Mecklenburg (704)567-1531 "Autism Services of Mecklenburg County, Inc" 922176 MHL-060-167 "Autism Services of Mecklenburg County, Inc." 01-Mar-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Mantle Court Group Home 2211-A Executive Street Charlotte NC 28208 4319 Mantle Court Charlotte NC 28205 Mecklenburg (704)567-8082 Autism Svcs of Meck. Co. Inc. 922388 MHL-060-166 "Autism Services of Mecklenburg County, Inc." 01-Mar-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Pinebrook Drive Group Home 2211-A Executive Street Charlotte NC 28208 5215 Pinebrook Drive Charlotte NC 28208 Mecklenburg (704)399-8969 "Autism Services of Mecklenburg County, Inc." 945214 MHL-060-231 "Autism Services of Mecklenburg County, Inc." 20-Oct-94 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Ravendale Drive Group Home 2211-A Executive Street Charlotte NC 28208 1123 Ravendale Drive Charlotte NC 28216 Mecklenburg (704)399-3538 "Autism Svcs. of Meck. Co. , Inc." 970231 MHL-060-350 "Autism Services of Mecklenburg County, Inc." 06-Feb-97 01-Jan-13 31-Dec-13 Type A 01-Nov-07 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kelly Street Home 2211-A Executive Street Charlotte NC 28208 5300 Kelly Street Charlotte NC 28205 Mecklenburg (704)531-1875 "Autism Svcs of Meck Co, Inc." 061091 MHL-060-514 "Autism Services of Mecklenburg County, Inc." 01-Mar-99 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Gail B. Hanks Group Home 2211A Executive Street Charlotte NC 28208 5917 Rowan Way Charlotte NC 28214-2403 Mecklenburg (704)391-5559 "Austism Services of Mecklenburg County, Inc." 020252 MHL-060-908 "Autism Services of Mecklenburg County, Inc." 21-Jul-03 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Piney Grove Group Home 2211-A Executive Street Charlotte NC 28208 4016 Piney Grove Charlotte NC 28212 Mecklenburg (704)568-4868 "Autism Services of Mecklenburg County, Inc." 921760 MHL-092-104 "Autism Services, Inc." 01-Apr-92 01-Jan-13 31-Dec-13 Type B Imposed 04-Jan-08 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Dickens Drive Home "1310 Corporation Parkway, Suite H" Raleigh NC 27610 113 Dickens Drive Raleigh NC 27610 Wake (919)250-0907 Dickens Drive Home 922048 MHL-092-091 "Autism Services, Inc." 01-Aug-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Jade Tree "1310 Corporation Parkway, Suite H" Raleigh NC 27610 6501 Jade Tree Lane Raleigh NC 27615 Wake (919)954-0560 Autism Services 922084 MHL-032-079 "Autism Services, Inc." 01-Apr-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Kenwood Drive Home "1310 Corporation Parkway, Ste. H" Raleigh NC 27610 5004 Kenwood Road Durham NC 27712 Durham (919)251-9156 Kenwood Drive Home 931304 MHL-092-468 "Autism Services, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Walnut Street Group Home 1310 Corporation Parkway Suite H Raleigh NC 27610 534 Walnut Street Cary NC 27511 Wake (919)380-0203 "Autism Services, Inc." 060178 MHL-032-259 "Autism Services, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Suspension of Admission 26-Aug-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Great Bend Group Home 1310- H Corporation Parkway Raleigh NC 27610 2003 Great Bend Drive Durham NC 27704 Durham (919)688-2730 970892 MHL-092-467 "Autism Services, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Glen Forest Home 1310-H Corporation Parkway Raleigh NC 27610 5117 Glen Forest Drive Raleigh NC 27612 Wake (919)782-3353 "Curtis Bass, Exec. Dir." 060758 MHL-026-244 Autism Society of Cumberland County 19-Jun-96 01-Jan-13 31-Dec-13 - - - - 0 27G.2200 "School Year, Before/After School and Summer DD Services" C&ADOL MR/DD DAY Loyd Auman Elementary School "351 Wagoner Drive, Ste 410" Fayetteville NC 28304 6882 Raeford Road Fayetteville NC 28304 Cumberland (910)868-8153 Autism Society of Cumberland County 000297 MHL-092-415 "Autism Society of North Carolina, Inc." 26-Apr-00 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sandlewood Drive Home "505 Oberlin Rd., Ste. 230" Raleigh NC 27609 5006 Sandlewood Drive Raleigh NC 27609 Wake (919)786-0027 Autism society of NC 020912 MHL-025-191 "Autism Society of North Carolina, Inc." 16-Oct-02 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Pelican's Reach "505 Oberlin Road, Suite 230" Raleigh NC 27605 324 Hill Street New Bern NC 28564 Craven (252)514-6598 Autism Society of NC 960024 MHL-070-013 "Autism Society of North Carolina, Inc." 11-Jan-96 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Peartree "505 Oberlin Road., Ste. 230" Raleigh NC 27605 111 Fort Bragg Drive Elizabeth City NC 27909 Pasquotank (336)852-5688 Autism Society of NC 070411 MHL-092-565 "Autism Society of North Carolina, Inc." 18-Nov-03 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A AMB DAY Creative Living "505 Oberlin Road, Suite 230" Raleigh NC 27605 "6300 Chapel Hill Road, Suite 230" Raleigh NC 27607 Wake (919)854-6161 Atten: Director of Services 070411 MHL-092-565 "Autism Society of North Carolina, Inc." 18-Nov-03 01-Jan-13 31-Dec-13 - - - - 0 27G.2200 "School Year, Before/After School and Summer DD Services" C&ADOL MD DAY Creative Living "505 Oberlin Road, Suite 230" Raleigh NC 27605 "6300 Chapel Hill Road, Suite 230" Raleigh NC 27607 Wake (919)854-6161 Atten: Director of Services 041439 MHL-011-259 "Autism Society of North Carolina, Inc." 29-Jun-05 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Fairview House "505 Oberlin Rd., Ste. 230" Raleigh NC 27605 6 Lanning Drive Fairview NC 28730 Buncombe (828)628-1351 Autism Society of NC 070860 MHL-011-265 "Autism Society of North Carolina, Inc." 08-Nov-05 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Marlowe Place "505 Oberlin Road, Ste 230" Raleigh NC 27605 22 Marlowe Drive Asheville NC 28801 Buncombe (828)505-4290 Autism Society of NC 070384 MHL-026-817 "Autism Society of North Carolina, Inc." 14-Mar-06 01-Jan-13 31-Dec-13 - - - - 0 27G.2200 "School Year, Before/After School and Summer DD Services" C AMB DAY The Learning Center "505 Oberlin Rd., Ste 230" Raleigh NC 27605 "351 Wagoner Drive, Suite 408" Fayetteville NC 28303 Cumberland (910)864-2769 Autism Society of NC 080809 MHL-026-871 "Autism Society of North Carolina, Inc." 20-Mar-09 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MD DAY Academy For Life Skills Development 505 Oberlin Road Suite 230 Raleigh NC 27605 "1047 Murchison Road, Suite 128 & 130" Fayetteville NC 28301 Cumberland (910)864-2769 Autism Society of North Carolina 110060 MHL-041-674 "Autism Society of North Carolina, Inc." 13-Jun-03 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Autism Center for Life Enrichment "505 Oberlin Road, Suite 230" Raleigh NC 27605 "9 Oak Branch Drive, Suites A & B" Greensboro NC 27407-2992 Guilford (336)333-0197 "Autism Society of North Carolina, Inc." 110060 MHL-041-674 "Autism Society of North Carolina, Inc." 13-Jun-03 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY Autism Center for Life Enrichment "505 Oberlin Road, Suite 230" Raleigh NC 27605 "9 Oak Branch Drive, Suites A & B" Greensboro NC 27407-2992 Guilford (336)333-0197 "Autism Society of North Carolina, Inc." 120412 MHL-011-349 "Autism Society of North Carolina, Inc." 05-Sep-12 01-Jan-13 31-Dec-13 - - - - 0 27G.2200 "School Year, Before/After School and Summer DD Services" C&ADOL MR/DD DAY The Adventure Club 306 Summit Street Asheville NC 28803 306 Summit Street Asheville NC 28803 Buncombe (828)236-1547 "Autism Society of North Carolina, Inc." 090761 MHL-071-027 "Autism Support and Programs, Inc." 01-Dec-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Rainbow Farms 200 Island Creek Road Rocky Point NC 28457 200 Island Creek Road Rocky Point NC 28457 Pender (910)270-5499 "Autism Support and Programs, Inc. (ASAP)" 090622 MHL-071-028 "Autism Support and Programs, Inc." 08-Dec-09 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Sunrise 200 Island Creek Road Rocky Point NC 28457 300 Island Creek Road Rocky Point NC 28457 Pender (910)270-5494 "Autism Support and Programs, Inc.(ASAP)" 110810 MHL-071-034 "Autism Support and Programs, Inc." 23-Jan-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lotus 200 Island Creek Road Rocky Point NC 28457-9409 224 Island Creek Road Rocky Point NC 28457-5494 Pender (910)270-5454 "Autism Support and Programs, Inc." 020158 MHL-020-033 "Autumn Halls of Unaka, LLC" 21-Apr-03 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Autumn Halls of Unaka #1 14949 Joe Brown Highway Murphy NC 28906 14949-A Joe Brown Highway Murphy NC 28906 Cherokee (828)835-8103 "Autumn Halls of Unaka, LLC" 030432 MHL-020-034 "Autumn Halls of Unaka, LLC" 21-Apr-03 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Autumn Halls of Unaka #2 14949 Joe Brown Highway Murphy NC 28906 14949-B Joe Brown Highway Murphy NC 28906 Cherokee (828)835-8103 "Autumn Halls of Unaka, LLC" 955477 MHL-006-006 "Avery Asso. For Exceptional Citizens, Inc." 01-Mar-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Avery County Group Home P.O. Box 176 Newland NC 28657 198 Cemetary Road Newland NC 28657 Avery (828)733-1273 922917 MHL-006-001 Avery Assoc. for Exceptional Citizens Inc. 28-Oct-85 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Yellow Mountain Enterprises P.O. Box 548 Newland NC 28657 255 Estatoa Avenue Newland NC 28657 Avery (828)733-2944 030034 MHL-092-540 Ayodele Joy Oyelowo 27-Jun-03 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Gloryland Home Care Services 2617 Gross Avenue Wake Forest NC 27587 2617 Gross Avenue Wake Forest NC 27587 Wake (919)647-4597 Gloryland Home Care Svcs 090935 MHL-032-521 "B & D Behavioral Health Services, Inc." 16-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY B & D Behavioral Health Services "249 East NC Hwy 54, Suite 320" Durham NC 27713 "249 East NC Hwy 54, Suite 320" Durham NC 27713 Durham (919)753-1080 Lauren Durant 090935 MHL-032-521 "B & D Behavioral Health Services, Inc." 16-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY B & D Behavioral Health Services "249 East NC Hwy 54, Suite 320" Durham NC 27713 "249 East NC Hwy 54, Suite 320" Durham NC 27713 Durham (919)753-1080 Lauren Durant 080373 MHL-081-078 B Business Corp. dba Golden Years 19-Aug-08 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Golden Years #1 160 Healthcare Drive Rutherfordton NC 28139 2431 Highway 64 Rutherfordton NC 28139 Rutherford (828)286-4732 Brenda A. Yelton and James Yelton 041356 MHL-023-133 B Business Corporation 29-Jul-05 01-Jan-13 31-Dec-13 Type A 31-Jan-13 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Golden Years A 160 Health Care Drive Rutherfordton NC 28139 607 West Dixon Blvd. Shelby NC 28150 Cleveland (704)484-8927 Brenda Yelton 080374 MHL-081-079 B Business Corporation 19-Aug-08 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Golden Years #2 160 Health Care Drive Rutherfordton NC 28139 2435 Highway 64 Rutherford NC 28139 Rutherford (828)288-2698 Brenda A. Yelton and James Yelton 090952 MHL-081-085 B Business Corporation 25-Feb-10 01-Jan-13 31-Dec-13 Type B 21-Feb-12 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Golden Years #3 160 Health Care Drive Rutherfordton NC 28139 350 Oscar Justice Road Rutherfordton NC 28139 Rutherford (828)287-7353 B Business Corporation 100509 MHL-023-169 B Business Corporation 16-Jul-10 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Golden Years #4 160 Health Care Drive Rutherfordton NC 28139 2109 Cameo Drive Shelby NC 28152 Cleveland (704)482-4898 B Business Corporation 970088 MHL-026-272 "B.J. Hill & Associates, Inc." 15-Jan-97 01-Jan-13 31-Dec-13 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Waters Edge Group Home PO Box 758 Fayetteville NC 28302 409 Lynn Avenue Fayetteville NC 28301 Cumberland (910)864-1807 020527 MHL-032-412 BAART Commuinty Healthcare 18-Jun-07 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY BAART Community Healthcare 1111 Market Street 4th Floor San Francisco CA 94103 705 South Mangum Street Durham NC 27701 Durham (919)683-1607 BAART Community Healthcare 020527 MHL-032-412 BAART Commuinty Healthcare 18-Jun-07 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY BAART Community Healthcare 1111 Market Street 4th Floor San Francisco CA 94103 705 South Mangum Street Durham NC 27701 Durham (919)683-1607 BAART Community Healthcare 020527 MHL-032-412 BAART Commuinty Healthcare 18-Jun-07 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY BAART Community Healthcare 1111 Market Street 4th Floor San Francisco CA 94103 705 South Mangum Street Durham NC 27701 Durham (919)683-1607 BAART Community Healthcare 041360 MHL-064-075 "BTW Home Care Services, LLC" 18-Jul-05 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL BTW Home Care Services PO Box 8381 Rocky Mount NC 27804 2709 Gary Road Rocky Mount NC 27804 Nash (252)972-9022 Sharon Barnes 021054 MHL-064-084 "BTW Home Care Services, LLC" 15-May-07 01-Jan-13 31-Dec-13 Type B 21-Dec-20 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL BTW Home Care Services II LLC PO Box 8381 Rocky Mount NC 27804 601 Colby Court Rocky Mount NC 27803 Nash (252)972-3100 BTW Home Care Services 080562 MHL-064-093 "BTW Home Care Services, LLC" 09-Oct-08 01-Jan-13 31-Dec-13 Suspension of Admission 28-Mar-11 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL BTW Home Care Services III PO Box 8381 Rocky Mount NC 27804 781 Haggerty Trail Rocky Mount NC 27803 Nash (252)972-8037 080360 MHL-098-126 "Bailey's Respite Care, Inc." 03-Sep-08 01-Jan-13 31-Dec-13 - - - - 6 27G.5100 Community Respite Services C&A MD RESIDENTL Bailey's Respite Care 6936 Rock Ridge Sims Road Sims NC 27880 516 Lee Street Wilson NC 27893 Wilson (252)291-8878 April Butcher & Scott Butcher 100032 MHL-098-148 "Bailey's Respite Care, Inc." 23-Apr-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bailey's Respite Care #2 6936 Rock Ridge Sims Road Sims NC 27880 1315 Colonial Avenue Wilson NC 27896 Wilson (252)991-3119 "Bailey's Respite Care, Inc." 070436 MHL-041-947 "Baker's Counseling & Mentoring Center, Inc." 21-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL MI DAY "Baker's Counseling & Mentoring Center, Inc." "2121 Eastchester Dr., Ste. 105" High Point NC 27265 "1401 South Eugene Street, First Floor, Suite 100" Greensboro NC 27406 Guilford (336)379-5081 "Baker's Counseling & Mentoring Center, Inc." 120402 MHL-041-1055 "Baker's Counseling & Mentoring Center, Inc." 03-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Baker's Counseling & Mentoring Center Inc. "2121 Eastchester Drive, Suite 105" High Point NC 27265 "2121 Eastchester Drive, Suite 105" High Point NC 27265 Guilford (336)884-8658 061110 MHL-095-043 "Baptist Children's Home of NC, Inc." 03-Apr-07 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Three Forks Home PO Box 338 Thomasville NC 27361 392 Camp Joy Road Zionville NC 28698 Watauga (828)297-8001 Three Forks Home 050199 MHL-095-044 "Baptist Children's Home of NC, Inc." 18-Jul-07 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lindsay Home PO Box 338 Thompsonville NC 27361-0338 394 Camp Joy Road Zionville NC 28698 Watauga (828)297-8004 Lindsay Home 010982 MHL-034-156 "Baptist Children's Home of NC, Inc. - DD Ministry" 30-Apr-02 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hinkle House at Bethabara PO Box 338 Thomasville NC 27361-0338 2030 Clyde Hayes Drive Winston-Salem NC 27106 Forsyth (336)748-9302 Hinkle House at Bethabara 070147 MHL-076-087 "Baptist Children's Homes of NC, Inc." 24-Sep-07 01-Jan-13 31-Dec-13 Type A 07-Sep-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Asheboro Home PO Box 338 Thomasville NC 27361 1380 Old Cox Road "Asheboro," NC 27205 Randolph (336)626-7002 070182 MHL-053-054 "Baptist Children's Homes of NC, Inc." 16-Jul-08 01-Jan-13 31-Dec-13 Type A 12-May-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Mercer Home PO Box 338 Thomasville NC 27361 1434 Carthage Street Sanford NC 27330 Lee (919)776-2335 "Baptist Children's Homes of NC, Inc." 070183 MHL-053-055 "Baptist Children's Homes of NC, Inc." 16-Jul-08 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lanier Home PO Box 338 Thomasville NC 27330 1428 Carthage Street Sanford NC 27361 Lee (919)708-5885 Baptist Children's Homes of NC. Inc. 010983 MHL-034-168 "Baptist Children's Homes of NC, Inc. - DD Ministry" 14-Feb-03 01-Jan-13 31-Dec-13 Type B 09-Aug-06 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Davis House at Bethabara PO Box 338 Thomasville NC 27361-0338 2020 Clyde Hayes Drive Winston-Salem NC 27106 Forsyth (336)748-1216 Baptist Children's Homes of NC Inc. 030855 MHL-090-151 "Baptist Children's Homes of North Carolina, Inc." 23-Sep-04 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Stegall Home PO Box 338 Thomasville NC 27361-0338 7820 Highway 74 East Marshville NC 28103 Union (704)624-2881 Baptist Children's Home of NC 010709 MHL-051-116 Barbara Doyle 15-Jan-02 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Barbara's Whitley Group Home 182 Whitley Road Middlesex NC 27557 182 Whitley Road Middlesex NC 27557 Johnston (919)404-1972 Barbara Doyle 090925 MHL-074-162 Barbara J. Hester 17-Mar-06 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "Choices SA/MH, Inc." PO Box 30167 Greenville NC 27833 601-A Country Club Drive Greenville NC 27833 Pitt (252)439-1886 "Choices SA/MH, Inc." 090925 MHL-074-162 Barbara J. Hester 17-Mar-06 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Choices SA/MH, Inc." PO Box 30167 Greenville NC 27833 601-A Country Club Drive Greenville NC 27833 Pitt (252)439-1886 "Choices SA/MH, Inc." 090925 MHL-074-162 Barbara J. Hester 17-Mar-06 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Choices SA/MH, Inc." PO Box 30167 Greenville NC 27833 601-A Country Club Drive Greenville NC 27833 Pitt (252)439-1886 "Choices SA/MH, Inc." 920748 MHL-026-659 Barbara M. Brown and Sabrina Suitt 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL McDuffie DDA Group Home 1826 Wendover Drive Fayetteville NC 28304 1826 Wendover Drive Fayetteville NC 28304 Cumberland (910)339-9458 031002 MHL-093-038 Barbara P. Alston 20-Jan-04 01-Jan-13 31-Dec-13 Type B 12-Feb-10 - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Perry & Alston's Family Connection II 1486 Dr. MLK Jr. Blvd. Warrenton NC 27589 136 Isham Road Warrenton NC 27589 Warren (252)257-2131 Barbara Alston 061174 MHL-096-197 Barbara Waters 31-May-07 01-Jan-13 31-Dec-13 Type B 03-Mar-11 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Universal 4008-B US 70 East Goldsboro NC 27534 2030 Azeala Goldsboro NC 27530 Wayne (919)736-0517 Barbara Waters 060169 MHL-040-051 Barbara's Love And Care Inc. 17-Dec-12 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Barbara's Love and Care Inc. Home 4 753 Old Snow Hill Road Ayden NC 28513 25 Lane Road Stantonsburg NC 27883 Greene (252)238-9990 060169 MHL-040-051 Barbara's Love And Care Inc. 17-Dec-12 01-Jan-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services A MD RESIDENTL Barbara's Love and Care Inc. Home 4 753 Old Snow Hill Road Ayden NC 28513 25 Lane Road Stantonsburg NC 27883 Greene (252)238-9990 000382 MHL-040-052 Barbara's Love And Care Inc. 17-Dec-12 01-Jan-13 31-Dec-13 Type B 16-Apr-13 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Barbara's Love and Care Inc. Home 5 753 Old Snow Hill Road Ayden NC 28513 363 Lane Road Stantonsburg NC 27883 Greene (252)238-3279 000382 MHL-040-052 Barbara's Love And Care Inc. 17-Dec-12 01-Jan-13 31-Dec-13 Type B 16-Apr-13 - - 0 27G.5100 Community Respite Services A MD RESIDENTL Barbara's Love and Care Inc. Home 5 753 Old Snow Hill Road Ayden NC 28513 363 Lane Road Stantonsburg NC 27883 Greene (252)238-3279 021075 MHL-054-168 Barbara's Love and Care Home Inc. 22-Oct-12 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Barbara's Love and Care Home #3 3323 Dobbs Farm Road Kinston NC 28504 1752 Elizabeth Drive Kinston NC 28501 Lenoir (252)523-8332 Barbara's Love and Care Inc. 030094 MHL-054-167 Barbara's Love and Care Inc. 22-Oct-12 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Barbara's Love & Care #4 3323 Dobbs Farm Road Kinston NC 28504 3323 Dobbs Farm Road Kinston NC 28504 Lenoir (252)523-8332 000134 MHL-054-170 "Barbara's Love and Care, Inc." 25-Oct-12 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Barbara's Love and Care Home "400 Glenwood Avenue, Suite 2" Kinston NC 28501 2206 Rouse Road Kinston NC 28501 Lenoir (252)522-1968 080276 MHL-049-085 Barium Springs Home for Children 14-Jul-03 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Springs Academy PO Box 1 Barium Springs NC 28010-0001 163 Barium Springs Drive Statesville NC 28677-6238 Iredell (704)873-1011 Barium Springs Home for Children 080276 MHL-049-085 Barium Springs Home for Children 14-Jul-03 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Springs Academy PO Box 1 Barium Springs NC 28010-0001 163 Barium Springs Drive Statesville NC 28677-6238 Iredell (704)873-1011 Barium Springs Home for Children 080277 MHL-049-086 Barium Springs Home for Children 14-Jul-03 01-Jan-13 31-Dec-13 - - - - 6 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Barium Springs Home for Children - Howard Home PO Box 1 Barium Springs NC 28010-0001 107 Barium Springs Drive Statesville NC 28677-6238 Iredell (704)832-2239 Barium Springs . 080278 MHL-049-087 Barium Springs Home for Children 14-Jul-03 01-Jan-13 31-Dec-13 Type B 30-Oct-08 - - 9 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Barium Springs Home for Children-Sullivan Home PO Box 1 Barium Springs NC 28010-0001 153 Barium Springs Drive Statesville NC 28677-6238 Iredell (704)832-2234 "Barium Springs Home for Children, Inc." 080279 MHL-049-109 Barium Springs Home for Children 26-Jul-07 01-Jan-13 31-Dec-13 Type A 10-Feb-09 - - 5 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Barium Springs Home for Children - Nelson Home P.O Box 1 Barium Springs NC 28010-0001 115 Barium Springs Drive Statesville NC 28677-6238 Iredell (704)832-2231 Barium Springs 090583 MHL-049-119 Barium Springs Home for Children 16-Oct-09 01-Jan-13 31-Dec-13 Type B 12-Nov-10 - - 9 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Barium Springs Home for Children - King Home "156 Frazier Loop, PO BOX 1" Barium Springs NC 28010-0001 138 Barium Springs Drive Statesville NC 28677-6238 Iredell (704)832-2238 Barium Springs Home for Children 090785 MHL-056-023 Barium Springs Home for Children 01-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Barium Springs Mental Health Professionals PO BOX 1 Barium Springs NC 28010 150 Georgia Road Franklin NC 28734 Macon (828)524-3833 Barium Springs 101044 MHL-097-064 Barium Springs Home for Children 01-Jul-11 01-Jan-13 31-Dec-13 - - - - 9 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Barium Springs Home for Children - Kulynych Cottage P.O. Box 1 Barium Springs NC 28010-0001 517 Boston Avenue North Wilkesboro NC 28659-3903 Wilkes (336)667-5095 Barium Springs 080138 MHL-050-059 Barium Springs Home for Children 21-Jan-13 21-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Barium Springs Mental Health Professionals PO Box 99 Webster NC 28788 151 DeSoto Trail Sylva NC 28779 Jackson (828)586-8958 Barium Springs Home for Children 921486 MHL-007-002 "Beaufort County Developmental Center, Inc." 16-Jul-85 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Beaufort County Developmental Center 1534 West Fifth Street Washington NC 27889 1534 West Fifth Street Washington NC 27889 Beaufort (252)946-0151 Elizabeth Leggett 921486 MHL-007-002 "Beaufort County Developmental Center, Inc." 16-Jul-85 01-Jan-13 31-Dec-13 - - - - 0 27G.5500 Sheltered Workshops A MD DAY Beaufort County Developmental Center 1534 West Fifth Street Washington NC 27889 1534 West Fifth Street Washington NC 27889 Beaufort (252)946-0151 Elizabeth Leggett 940072 MHL-007-026 "Beaufort County Developmental Center, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type B 11-Sep-06 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Beaufort County Group Home #1 (ARC-HUD) 1534 West 5th Street Washington NC 27889 405 East 6th Street Washington NC 27889 Beaufort (252)946-0560 971215 MHL-026-887 "Behavior Counseling & Psychological Services, PA" 26-Jan-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY The DWI Center 916 Hay Street Fayetteville NC 28305 916 Hay Street Fayetteville NC 28302 Cumberland (910)485-1703 "Behavior Counseling & Psychological Services, PA" 971215 MHL-026-887 "Behavior Counseling & Psychological Services, PA" 26-Jan-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY The DWI Center 916 Hay Street Fayetteville NC 28305 916 Hay Street Fayetteville NC 28302 Cumberland (910)485-1703 "Behavior Counseling & Psychological Services, PA" 061194 MHL-032-403 Ben Ouma Nyabwa 20-Mar-07 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Better Living Concepts of Durham, LLC" 909 Garcia Avenue Durham NC 27704 909 Garcia Avenue Durham NC 27704 Durham (919)477-5825 Ben Ouma Nyabwa 061194 MHL-032-403 Ben Ouma Nyabwa 20-Mar-07 01-Jan-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services A MD RESIDENTL "Better Living Concepts of Durham, LLC" 909 Garcia Avenue Durham NC 27704 909 Garcia Avenue Durham NC 27704 Durham (919)477-5825 Ben Ouma Nyabwa 120088 MHL-041-1044 Bernard Wright/Carolyn L. Wright 01-May-12 01-Jan-13 31-Dec-13 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C MI RESIDENTL Wright Supervised Living Home 5519 Grapevine Court Greensboro NC 27405 5519 Grapevine Court Greensboro NC 27405 Guilford (336)392-6206 Bernard Wright/Carolyn L. Wright 921497 MHL-063-002 "Bethesda, Inc." 01-Nov-84 01-Jan-13 31-Dec-13 - - - - 3 27G.3200 Social Setting Detoxification A SAS RESIDENTL "Bethesda, Inc." 204 N. Pine Street Bldg. A Aberdeen NC 28315 204 N. Pine Street Bldg. A Aberdeen NC 28315 Moore (910)944-7700 921497 MHL-063-002 "Bethesda, Inc." 01-Nov-84 01-Jan-13 31-Dec-13 - - - - 15 27G.5600E Supervised Living SA Adult A SAS RESIDENTL "Bethesda, Inc." 204 N. Pine Street Bldg. A Aberdeen NC 28315 204 N. Pine Street Bldg. A Aberdeen NC 28315 Moore (910)944-7700 100463 MHL-033-083 Better Connections Inc 16-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Better Connections Day Program PO Box 602 Tarboro NC 27866 2102 North Main Street Tarboro NC 27866 Edgecombe (252)823-0685 "Better Connection, Inc." 001247 MHL-074-195 "Better Connections, Inc." 13-Oct-08 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Better Connections Midland Ct. 2102 North Main Street Tarboro NC 27886 3309 Midland Court Greenville NC 27834 Pitt (252)561-7248 Better Connections C/O John Williams 090615 MHL-064-113 "Better Connections, Inc." 12-Mar-10 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Woodbrook Residential PO Box 602 Tarboro NC 27886 3480 Woodbrook Drive Rocky Mount NC 27804 Nash (252)442-5700 "Better Connection, Inc." 090615 MHL-064-113 "Better Connections, Inc." 12-Mar-10 01-Jan-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services A MD RESIDENTL Woodbrook Residential PO Box 602 Tarboro NC 27886 3480 Woodbrook Drive Rocky Mount NC 27804 Nash (252)442-5700 "Better Connection, Inc." 100116 MHL-074-223 "Better Connections, Inc." 16-Jul-10 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Mosley Drive 3330 A Mosley Drive Greenville NC 27834 3330 A Mosley Drive Greenville NC 27834 Pitt (252)757-0130 "Better Connections, Inc." 110685 MHL-042-066 "Better Connections, Inc." 18-Sep-10 01-Jan-13 31-Dec-13 Type A 25-Aug-11 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Better Connections - Lee Lane PO Box 602 Tarboro NC 27886 300 Lee Lane Roanoke Rapids NC 27870 Halifax (252)308-0889 "Better Connections, Inc." 120300 MHL-074-239 "Better Connections, Inc." 02-Aug-12 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Meadowbrook PO Box 602 Tarboro NC 27886 1111 Meadowbrook Drive Greenville NC 27834 Pitt (252)551-5613 "Better Connections, Inc." 010201 MHL-033-035 Better Days Ahead Of Rocky Mount Inc. 29-Oct-01 01-Jan-13 31-Dec-13 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Better Days Ahead of Rocky Mount #3 PO Box 909 Rocky Mount NC 27802 829 Long Avenue Rocky Mount NC 27801 Edgecombe (252)212-5941 "Better Days Ahead, Inc" 980236 MHL-033-032 Better Days Ahead of Rocky Mount Inc. 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB2 RESIDENTL "Better Days Ahead of Rocky Mount, Inc." PO Box 909 Rocky Mount NC 27802 1713 Kings Circle Drive Rocky Mount NC 27801 Edgecombe (252)212-5074 "Better Days Ahead of Rocky Mount, I" 990341 MHL-033-029 Better Days Ahead of Rocky Mount Inc. 01-Apr-99 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Better Days Ahead, Inc. #2" P.O. Box 909 Rocky Mount NC 27802 1212 Hill Street Rocky Mount NC 27801 Edgecombe (252)972-4080 Better Days Ahead of Rocky Mount Inc. 061135 MHL-033-051 Better Days Ahead of Rocky Mount Inc. 30-Jan-07 01-Jan-13 31-Dec-13 Type B 06-Jul-11 - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Better Days Ahead Inc #4 PO Box 909 Rocky Mount NC 27802 100 South Glendale Avenue Rocky Mount NC 27801 Edgecombe (252)977-6717 "Kelvin Barnhill, Sr./ Mary Barnhill" 120192 MHL-033-108 Better Days Ahead of Rocky Mount Inc. 09-Nov-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5100 Community Respite Services C&ADOL&A MI RESIDENTL Better Days Ahead of Rocky Mount Inc. #5 1107 North Fairview Road Rocky Mount NC 27801 1521 Bedford Road Rocky Mount NC 27801 Edgecombe (253)442-1200 "Better Days Ahead of Rocky Mount, Inc." 090089 MHL-051-178 Betty Forsythe 01-Feb-10 01-Jan-13 31-Dec-13 Type B 24-Apr-12 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Supreme Love 2 4232 Coghill Drive Wilson NC 27896 212 Tilghman Street Kenly NC 27542 Johnston (919)284-3723 Betty Forsythe 110832 MHL-091-095 "Beyond Challenges Community Services, LLC" 11-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY "Beyond Challenges Community Services, LLC" 316 Stallings Road Durham NC 27703 515 Yadkin Street Henderson NC 27536 Vance (252)572-2167 100617 MHL-041-980 "Beyond Expectations Comprehensive Services, Inc." 11-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Beyond Expectations Comprehensive Services, Inc." 4265 Brownsboro Road Suite 222 Winston-Salem NC 27106 "622 Guilford College Road, Suite A-B" Greensboro NC 27409 Guilford (336)896-2046 920031 MHL-011-344 "Biltmore Housing, Inc." 10-Jan-12 10-Jan-13 31-Dec-13 Suspension of Admission 16-Jul-12 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Biltmore Housing 15-D Lees Creek Rd. Asheville NC 28806 82 Bradley Branch Road Arden NC 28704 Buncombe (828)676-1129 "Biltmore Housing, Inc." 021288 MHL-041-669 "Black & Associates Global, Inc" 01-Apr-03 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Our Home 102 Burrows Road Jamestown NC 27282 618 Broad Avenue Greensboro NC 27401 Guilford (336)230-0767 Ellen R. Black 040176 MHL-041-781 "Black & Associates Global, Inc." 27-Apr-06 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Our Home-Aunt Zola's 102 Burrows Rd. Jamestown NC 27282 408 Andrew Street Greensboro NC 27406 Guilford (336)271-2004 Ellen R. Black 080797 MHL-041-898 "Black and Associates Global, Inc" 16-Feb-09 01-Jan-13 31-Dec-13 - - - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Our Home - High Point 102 Burrows Road Jamestown NC 27282 1502 Cloverdale Street High Point NC 27260-4412 Guilford (336)889-3021 "Black and Associates Global, Inc." 130075 MHL-041-1071 "Black and Associates Global, Inc." 15-Mar-13 15-Mar-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Dr. Grace Black Global Academy 102 Burrows Road Jamestown NC 27282 107 W. Whittington Street Greensboro NC 27401 Guilford (336)333-9005 "Black & Associates Global, Inc." 100931 MHL-041-997 "Blackwell House, Inc." 15-Dec-10 01-Jan-13 31-Dec-13 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Blackwell House, Inc." 2805 North O'henry Boulevard Greensboro NC 27405 2805 North O'henry Boulevard Greensboro NC 27405 Guilford (336)617-5731 090531 MHL-001-184 "Blackwell's Community Living, LLC" 13-Nov-09 01-Jan-13 31-Dec-13 Type B 15-Dec-10 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Blackwell's Community Living, LLC" PO Box 262 Pleasant Garden NC 27313 426 Somers Avenue Burlington NC 27215 Alamance (336)270-4463 "Blackwell's Community Living, LLC" 945321 MHL-041-1039 "Blessed New Beginnings, LLC" 11-Jan-12 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III ADOL MI RESIDENTL "Blessed New Beginnings, LLC" P.O. Box 16527 Greensboro NC 27416 515 Guilford College Road Greensboro NC 27409 Guilford (336)315-6070 020388 MHL-057-016 "Blue Ridge Area Foundation, Inc." 04-Apr-02 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Mountain Opportunity Center-Madison 119 TUNNEL ROAD Suite E ASHEVILLE NC 28805-1869 317 Kenpack Lane Marshall NC 28753 Madison (828)649-1139 "Blue Ridge Area Foundation, Inc." 922254 MHL-061-001 "Blue Ridge Area Foundation, Inc." 01-Jul-85 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Mountain Opportunity Center-Mitchell 119 Tunnel Road Suite E Asheville NC 28805 36 North Mitchell Ave. Bakersville NC 28705 Mitchell (828)688-3050 Mtn Opportunity Ctr-Mitchell 922418 MHL-011-007 "Blue Ridge Area Foundation, Inc." 21-Jul-88 01-Jan-13 31-Dec-13 Type A 12-Feb-07 - - 32 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Blue Ridge Homes 119 Tunnel Road Suite E Asheville NC 28805 91 Poplar Circle Swannanoa NC 28778 Buncombe (828)686-7385 922427 MHL-057-003 "Blue Ridge Area Foundation, Inc." 01-Sep-88 01-Jan-13 31-Dec-13 - - - - 32 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Blue Ridge Homes-Madison 119 Tunnel Road Suite E Asheville NC 28805 Blue Ridge Homes Drive #50 Mars Hill NC 28754 Madison (828)689-9265 971255 MHL-011-137 "Blue Ridge Area Foundation, Inc." 20-Oct-97 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL ICF New Stock Road Group Home 119 Tunnel Road Suite E Asheville NC 28805 122 Woodland Hills Road Asheville NC 28804 Buncombe (828)658-9842 Blue Ridge Foundations 980012 MHL-011-140 "Blue Ridge Area Foundation, Inc." 01-Jan-98 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Blue Ridge Area Foundation/Vocational Services 119 Tunnel Road Suite E Asheville NC 28805 838 Riverside Drive Asheville NC 28804 Buncombe (828)251-2824 070736 MHL-032-432 "Bobby Leathers, Jr." 11-Mar-08 01-Jan-13 31-Dec-13 Type A 20-Jan-09 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Dorothy's House of Care 207 Normandy Street Durham NC 27707 207 Normandy Street Durham NC 27707 Durham (919)237-3578 Bobby Leathers 030652 MHL-041-691 Bobby Louis Cunningham/Avonda B. Cunningham 03-Sep-03 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Blessed Alms P.O. Box 16527 Greensboro NC 27416 4321 Rehobeth Church Road Greensboro NC 27406 Guilford (336)379-1314 "Blessed Alms, Inc." 090912 MHL-049-122 "Bobby P. Kearney, M.D., PLCC" 27-Jan-10 01-Jan-13 31-Dec-13 - - - - 0 27G.3300 Outpatient Detoxification A SAS DAY ARMS 524 East Broad Street Statesville NC 28677 536 Signal Hill Drive Extension Statesville NC 28625 Iredell (704)818-1117 "Bobby P. Kearney, M.D., P.L.L.C." 090912 MHL-049-122 "Bobby P. Kearney, M.D., PLCC" 27-Jan-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY ARMS 524 East Broad Street Statesville NC 28677 536 Signal Hill Drive Extension Statesville NC 28625 Iredell (704)818-1117 "Bobby P. Kearney, M.D., P.L.L.C." 090912 MHL-049-122 "Bobby P. Kearney, M.D., PLCC" 27-Jan-10 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone C&ADOL&A SAS DAY ARMS 524 East Broad Street Statesville NC 28677 536 Signal Hill Drive Extension Statesville NC 28625 Iredell (704)818-1117 "Bobby P. Kearney, M.D., P.L.L.C." 060360 MHL-098-144 "Body Whole Health & Counseling, Inc." 26-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization A MI DAY "Body Whole Health & Counseling, Inc." PO Box 7626 Wilson NC 27895 103 Brentwood Center Lane N Wilson NC 27896 Wilson (252)293-9966 "Body Whole Health & Counseling, Inc." 010968 MHL-076-064 Bonita A. Terry 15-Jul-02 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hopes Care Home PO Box 1030 Ramseur NC 27316 377 Broad Street Ramseur NC 27316 Randolph (336)824-2248 Hopes Care Home 050398 MHL-074-161 "Born 2 Win Ministries, Inc." 03-Mar-06 01-Jan-13 31-Dec-13 - - - - 4 27G.5100 Community Respite Services NONE MD RESIDENTL Our Fathers House of Born 2 Win Minstries Inc. 2605 B East 3rd Street Greenville NC 27834 2605 B East 3rd Street Greenville NC 27834 Pitt (252)752-0055 050398 MHL-074-161 "Born 2 Win Ministries, Inc." 03-Mar-06 01-Jan-13 31-Dec-13 - - - - 0 ** NONE NONE RESIDENTL Our Fathers House of Born 2 Win Minstries Inc. 2605 B East 3rd Street Greenville NC 27834 2605 B East 3rd Street Greenville NC 27834 Pitt (252)752-0055 040490 MHL-092-610 Bradley Home Caring for Wake Community & the Carolinas 05-Aug-04 01-Jan-13 31-Dec-13 Revoke 22-Aug-07 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Bradley Home Extension-PKEDS House PO Box 2055 Garner NC 27529 907 Frances Drive Garner NC 27529 Wake (919)772-9382 980742 MHL-092-319 "Bradley Home,Caring For Wake Community & the Carolinas" 06-Aug-98 01-Jan-13 31-Dec-13 Revoke 22-Aug-07 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Bradley Home PO Box 2055 Garner NC 27529 1505 Kelly Road Garner NC 27529 Wake (919)772-0053 "Bradley Hm,Caring For Wake Commun" 070201 MHL-032-414 "Break Out, LLC" 23-Jul-07 01-Jan-13 31-Dec-13 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Break Out, LLC" 406 Mare Court Bahama NC 27503 412 Pineland Avenue Durham NC 27704 Durham (919)220-2181 Darnella Warthen 030051 MHL-052-012 Brenda Kay Hicks 21-Feb-03 01-Jan-13 31-Dec-13 Type A 25-May-06 - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Quality-Care Behavioral Health II PO Box 942 Maysville NC 28555 301 Fourth Street Maysville NC 28555 Jones (910)743-9171 Quality-Care Behavioral Health 120344 MHL-001-182 Brenda Lee Torain 01-Oct-09 01-Jan-13 31-Dec-13 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL A Solid Foundation 1946 West Front Street Burlington NC 27215-3407 1946 West Front Street Burlington NC 27215 Alamance (336)534-0907 Brenda Lee Torain 070851 MHL-029-090 Brenda M. Green 11-Jul-01 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY The Green Center of Growth & Development 25 West Guilford Street Thomasville NC 27360 206 B West Second Street Lexington NC 27292 Davidson (336)224-2203 Brenda M. Green 070851 MHL-029-090 Brenda M. Green 11-Jul-01 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY The Green Center of Growth & Development 25 West Guilford Street Thomasville NC 27360 206 B West Second Street Lexington NC 27292 Davidson (336)224-2203 Brenda M. Green 960196 MHL-029-048 Brenda M. Green M.S. 07-Mar-96 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA ADOL&A SAS DAY The Green Center of Growth and Development 25 West Guilford St. Suite 11 Thomasville NC 27360 25 West Guilford St. Suite 11 Thomasville NC 27360 Davidson (336)472-4459 960196 MHL-029-048 Brenda M. Green M.S. 07-Mar-96 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY The Green Center of Growth and Development 25 West Guilford St. Suite 11 Thomasville NC 27360 25 West Guilford St. Suite 11 Thomasville NC 27360 Davidson (336)472-4459 990518 MHL-092-808 Brenda McConney 02-Feb-11 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Altruist Home Care 120 Mangums Drive Wendell NC 27591 120 Mangums Drive Wendell NC 27591 Wake (919)366-6475 Brenda McConney 990291 MHL-064-134 Brenda W. Bryant 13-Jun-12 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL My Guardian Angel #2 816 Paul Street Rocky Mount NC 27803 816 Paul Street Rocky Mount NC 27803 Nash (252)985-2735 Brenda W. Bryant 980379 MHL-001-204 Brendell K. Turner 20-Oct-10 01-Jan-13 31-Dec-13 Type A 26-Oct-11 - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Hazel's Residential Care 3739 Boy Wood Road Graham NC 27253 1010 Madison Street Burlington NC 27217 Alamance (336)228-6357 Brendell K. Turner 011295 MHL-092-488 Brendex Renea Lee Meeks 19-Feb-02 01-Jan-13 31-Dec-13 Suspension of Admission 09-Aug-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Meeks Group Home P.O. Box 1383 Wendell NC 27591 313 West Sycamore Street Zebulon NC 27597 Wake (919)404-2426 011295 MHL-092-488 Brendex Renea Lee Meeks 19-Feb-02 01-Jan-13 31-Dec-13 Suspension of Admission 09-Aug-12 - - 0 27G.5100 Community Respite Services A MR/DD RESIDENTL Meeks Group Home P.O. Box 1383 Wendell NC 27591 313 West Sycamore Street Zebulon NC 27597 Wake (919)404-2426 120378 MHL-041-1064 "Bridge of Metamorphosis, LLC" 05-Nov-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Bridge of Metamorphosis, LLC" 3340 Wiliton Way High Point NC 27260 "110 Scott Avenue, Suite #5" High Point NC 27262 Guilford (336)883-5551 100869 MHL-098-151 "Bridges of Hope, Inc." 10-Sep-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization C&ADOL&A MI DAY Bridges of Hope Support Center "218 East Arlington Blvd., Suite100" Greenville NC 27858 1206 Tarboro Street Wilson NC 27893 Wilson (252)360-4142 "Bridges of Hope, Inc." 100869 MHL-098-151 "Bridges of Hope, Inc." 10-Sep-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Bridges of Hope Support Center "218 East Arlington Blvd., Suite100" Greenville NC 27858 1206 Tarboro Street Wilson NC 27893 Wilson (252)360-4142 "Bridges of Hope, Inc." 100151 MHL-032-520 "Bridging the Gap Residential Services, LLC" 11-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Bridging the Gap Day Services 609 South Bend Drive Durham NC 27713 "6 Consultant Place, Suite 100B" Durham NC 27703 Durham (919)641-8378 "Bridging the Gap Residential Services, LLC" 100464 MHL-032-419 "Bridging the Gap Residential Services, LLC" 08-Oct-07 01-Jan-13 31-Dec-13 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Bridging the Gap Residential Services 609 South Bend Drive Durham NC 27713 3828 Northlake Drive Durham NC 27703 Durham (919)641-8378 "Bridging the Gap Residential Services, LLC" 110349 MHL-032-451 "Bridging the Gap Residential Services, LLC" 11-Aug-08 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bridging the Gap Residential Services II 609 South Bend Drive Durham NC 27713 2010 Lime Street Durham NC 27704 Durham (919)641-8378 "Bridging the Gap Residential Services, LLC" 060718 MHL-042-054 "Britesmilz Family and Community Connections, LLC" 09-Jun-09 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY "BriteSmilz Family and Community Connections, LLC" PO Box 86 Roanoke Rapids NC 27870 1165 Gregory Drive Roanoke Rapids NC 27870 Halifax (252)537-7575 060718 MHL-042-054 "Britesmilz Family and Community Connections, LLC" 09-Jun-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "BriteSmilz Family and Community Connections, LLC" PO Box 86 Roanoke Rapids NC 27870 1165 Gregory Drive Roanoke Rapids NC 27870 Halifax (252)537-7575 100372 MHL-032-369 "Britton and Crump, Inc." 24-May-06 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Britton & Crump 121 Hunt Street Durham NC 27701 121 Hunt Street Durham NC 27702 Durham (919)286-2100 Britton and Crump Inc 100372 MHL-032-369 "Britton and Crump, Inc." 24-May-06 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Britton & Crump 121 Hunt Street Durham NC 27701 121 Hunt Street Durham NC 27702 Durham (919)286-2100 Britton and Crump Inc 080397 MHL-033-102 "Britton and Crump, Inc." 25-May-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Britton and Crump 3503 North Main Street Tarboro NC 27886 3503 North Main Street Tarboro NC 27886 Edgecombe (252)823-8448 100473 MHL-082-089 "Brown Therapeutic Home, Inc." 02-Jan-13 02-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Brown Therapeutic Day Program 214 Lisbon Street Clinton NC 28328 214 Lisbon Street Clinton NC 28328-4115 Sampson (910)299-9155 "Brown Therapeutic Home, Inc." 101084 MHL-026-938 "Brown Therapeutic Home, Inc." 02-Jan-13 02-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Brown Therapeutic Home 2223-A Murchison Road Fayetteville NC 28301 "2223 Murchison Road, Suite A" Fayetteville NC 28301 Cumberland (910)483-1146 "Brown Therapeutic Home, Inc." 050547 MHL-082-090 "Brown Therapeutic Home, Inc." 02-Jan-13 02-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Brown Therapeutic Home 404 W. Morrisey Blvd. Clinton NC 28328 404 Morrisey Blvd. Clinton NC 28328 Sampson (910)590-2829 921540 MHL-010-001 Brunswick Community College 01-Sep-86 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A NONE DAY Brunswick Interagency Program PO Box 30 Supply NC 28462 50 College Road Bolivia NC 28422 Brunswick (910)755-7371 Brunswick Interagency Prog. 921166 MHL-097-046 "Brushy Mountain Group Homes, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Swain Street Group Home P. O. Box 1045 North Wilkesboro NC 28659 1224 Swain Street North Wilkesboro NC 28659 Wilkes (336)838-3789 921207 MHL-097-044 "Brushy Mountain Group Homes, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Mulberry Group Home P O Box 1045 North Wilkesboro NC 28659 1904 Windy Ridge Road North Wilkesboro NC 28659 Wilkes (336)838-3789 944358 MHL-097-045 "Brushy Mountain Group Homes, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Holly Hills Group Home P O Box 1045 North Wilkesboro NC 28659 179 Holly Brook Street North Wilkesboro NC 28659 Wilkes (336)838-3789 951548 MHL-012-038 "Burke Council on Alcoh. & Chem. Dep., Inc." 21-Jan-92 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS RESIDENTL "Burke Council on Alcoholism & Chemical Dependency, Inc." 203 White Street Morganton NC 28655 203 White Street Morganton NC 28655 Burke (828)433-1221 051156 MHL-001-107 Byron White 03-Mar-03 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Triad Health Care 1 PO Box 3334 Burlington NC 27215 607 Pinnix Rd Burlington NC 27217 Alamance (919)672-5815 Byron White 051162 MHL-001-124 Byron White 16-Dec-03 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Triad Healthcare Services 2 P.O. Box 3334 Burlington NC 27215 603 Pinnix Road Burlington NC 27217 Alamance (336)350-0689 120606 MHL-026-905 "C & C Outreach Services, LLC" 31-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "C & C Outreach Services, LLC" PO Box 1127 Elizabethtown NC 28337 916 Hope Mills Road Fayetteville NC 28304 Cumberland (910)826-3506 051314 MHL-029-097 "C.F. Marketing, LLC" 31-Oct-03 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A AMB DAY C.F. Marketing LLC 1558 Old Thomasville Road Winston-Salem NC 27107 701 South Salisbury Street Lexington NC 27292 Davidson (336)236-2056 C/O Charles Funchess 100618 MHL-032-553 "CAPS 4 U, Inc." 22-Sep-10 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Clinical Addiction Professional Services "201 West Main Street, Suite 202K" Durham NC 27701 "201 West Main Street, Suite 202K" Durham NC 27701 Durham (919)418-6470 "Caps 4 U, Inc." 100618 MHL-032-553 "CAPS 4 U, Inc." 22-Sep-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Clinical Addiction Professional Services "201 West Main Street, Suite 202K" Durham NC 27701 "201 West Main Street, Suite 202K" Durham NC 27701 Durham (919)418-6470 "Caps 4 U, Inc." 100732 MHL-032-553 "CAPS 4 U, Inc." 22-Sep-10 01-May-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "CAPS 4 U, Inc." PO Box 16262 Durham NC 27704 "3925 North Duke Street, Suite 123" Durham NC 27704 Durham (919)680-8833 100732 MHL-032-553 "CAPS 4 U, Inc." 22-Sep-10 01-May-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "CAPS 4 U, Inc." PO Box 16262 Durham NC 27704 "3925 North Duke Street, Suite 123" Durham NC 27704 Durham (919)680-8833 110233 MHL-051-194 "CB Recovery Associates, LLC" 11-Jul-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY CB Recovery Services 901 Town Centre Blvd. #120 Clayton NC 27520 "21 Anna Drive, Suites 105 and 106" Clayton NC 27520 Johnston (919)585-2553 "CB Recovery Associates, LLC" 110233 MHL-051-194 "CB Recovery Associates, LLC" 11-Jul-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY CB Recovery Services 901 Town Centre Blvd. #120 Clayton NC 27520 "21 Anna Drive, Suites 105 and 106" Clayton NC 27520 Johnston (919)585-2553 "CB Recovery Associates, LLC" 921560 MHL-031-010 "CDTEG, Inc." 01-Dec-92 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY CDTEG-Duplin PO Box 1743 Jacksonville NC 28541 112 Courthouse Plaza Kenansville NC 28349 Duplin (910)296-9696 980656 MHL-071-006 "CDTEG, Inc." 08-Jul-98 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "CDTEG, Inc." PO Box 1743 Jacksonville NC 28541 205 S. Hwy 117 Bypass Ste. 2 Burgaw NC 28425 Pender (910)259-5915 "CDTEG, Inc." 110043 MHL-092-813 "CHOICE Community Living Services, LLC" 17-Mar-11 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL CHOICE - Whetstone Court 7719 Falcon Rest Circle Raleigh NC 27615 1037 Whetstone Court Raleigh NC 27615 Wake (919)747-3512 "CHOICE Community Living Services, LLC" 060672 MHL-019-041 "CRC ED Treatment, Inc." 30-Aug-06 20-Feb-13 31-Dec-13 - - - - 16 27G.5600A Supervised Living MI Adult A MI RESIDENTL Carolina House 176 Lassiter Homestead Road Durham NC 27713 176 Lassiter Homestead Road Durham NC 27713 Chatham (919)372-7942 060672 MHL-019-041 "CRC ED Treatment, Inc." 30-Aug-06 20-Feb-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization A MI DAY Carolina House 176 Lassiter Homestead Road Durham NC 27713 176 Lassiter Homestead Road Durham NC 27713 Chatham (919)372-7942 120331 MHL-092-847 CRC Health Group 02-Jul-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization A MI DAY Carolina House - Raleigh 176 Lassiter Homestead Durham NC 27713 1340 Sunday Drive #105 Raleigh NC 27607 Wake (919)372-7951 CRC Health Corporation 030168 MHL-034-171 "CRSE Advanced Placement Homes, Inc." 03-Jun-03 01-Jan-13 31-Dec-13 Suspension of Admission 31-Jan-08 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Ansley Home 901 N. Cleveland Avenue Winston-Salem NC 27101 4433 Ansley Drive Winston-Salem NC 27107 Forsyth (336)784-8908 "CRSE Advanced Placement Homes, Inc." 041612 MHL-034-222 "CRSE Advanced Placement Homes, Inc." 09-Nov-07 01-Jan-13 31-Dec-13 - - - - 3 27G.1700 Residential Treatment Level III A MI RESIDENTL Oliver Christian Home 901 N. Cleveland Avenue Winston-Salem NC 27101 5713 Haweswater Road Winston-Salem NC 27105 Forsyth (336)608-4503 Chris Stewart 120191 MHL-034-297 "CRSE Advanced Placement Homes, Inc." 18-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization C&ADOL&A MI DAY Advanced Placement Treatment Facility 901 N. Cleveland Ave. Winston-Salem NC 27101 901 North Cleveland Avenue Winston-Salem NC 27101 Forsyth (336)722-1862 "CRSE Advanced Placement Homes, Inc." 120191 MHL-034-297 "CRSE Advanced Placement Homes, Inc." 18-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Advanced Placement Treatment Facility 901 N. Cleveland Ave. Winston-Salem NC 27101 901 North Cleveland Avenue Winston-Salem NC 27101 Forsyth (336)722-1862 "CRSE Advanced Placement Homes, Inc." 120191 MHL-034-297 "CRSE Advanced Placement Homes, Inc." 18-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Advanced Placement Treatment Facility 901 N. Cleveland Ave. Winston-Salem NC 27101 901 North Cleveland Avenue Winston-Salem NC 27101 Forsyth (336)722-1862 "CRSE Advanced Placement Homes, Inc." 090359 MHL-026-929 "CRSE Advanced Placement Homes, Inc." 30-May-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization C&ADOL&A MI DAY Advanced Placement Treatment Facility-Fayetteville 302 Bradford Avenue Fayetteville NC 28301 302 Bradford Avneue Fayetteville NC 28301 Cumberland (910)223-2862 "Advanced Placement, BHHS" 090359 MHL-026-929 "CRSE Advanced Placement Homes, Inc." 30-May-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Advanced Placement Treatment Facility-Fayetteville 302 Bradford Avenue Fayetteville NC 28301 302 Bradford Avneue Fayetteville NC 28301 Cumberland (910)223-2862 "Advanced Placement, BHHS" 090359 MHL-026-929 "CRSE Advanced Placement Homes, Inc." 30-May-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Advanced Placement Treatment Facility-Fayetteville 302 Bradford Avenue Fayetteville NC 28301 302 Bradford Avneue Fayetteville NC 28301 Cumberland (910)223-2862 "Advanced Placement, BHHS" 920150 MHL-013-084 "Cabarrus County Group Homes, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cabarrus County Group Home #2 PO Box 1197 Concord NC 28026 1201 Chipola Street Kannapolis NC 28083 Cabarrus (704)932-4172 920151 MHL-013-085 "Cabarrus County Group Homes, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Cabarrus County Group Home #3 P. O. Box 1197 Concord NC 28026 211 Long Avenue Concord NC 28025 Cabarrus (704)788-8214 920152 MHL-013-086 "Cabarrus County Group Homes, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cabarrus County Group Home #4 P. O. Box 1197 Concord NC 28026 169 Spring Street Concord NC 28025 Cabarrus (704)788-2898 920153 MHL-013-083 "Cabarrus County Group Homes, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type A 28-Jul-11 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cabarrus County Group Home PO Box 1197 Concord NC 28026 65 Creswell Drive Concord NC 28025 Cabarrus (704)788-1714 920208 MHL-080-164 "Cabarrus County Group Homes, Inc." 01-Jul-07 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cabarrus County Group Home #5 P.O. Box 1197 Concord NC 28026 106 S. Franklin Street China Grove NC 28023 Rowan (704)857-3017 920351 MHL-080-168 "Cabarrus County Group Homes, Inc." 01-Jul-07 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cabarrus County Group Home #9 P.O. Box 1197 Concord NC 28026 355 Hummingbird Circle Salisbury NC 28146 Rowan (704)279-3564 Cabarrus County Group Home #9 920873 MHL-080-165 "Cabarrus County Group Homes, Inc." 01-Jul-07 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cabarrus County Group Home #6 PO Box 1197 Concord NC 28026 1212 Stanley Street Salisbury NC 28144 Rowan (704)216-2274 "Cabarrus County Group Home, Inc." 921098 MHL-080-166 "Cabarrus County Group Homes, Inc." 01-Jul-07 01-Jan-13 31-Dec-13 Type A 14-Jan-09 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cabarrus County Group Home #7 PO Box 1197 Concord NC 28026 125 Shamrock Drive Salisbury NC 28144 Rowan (704)216-2273 "Cabarrus County Group Homes, Inc." 922316 MHL-080-167 "Cabarrus County Group Homes, Inc." 01-Jul-07 01-Jan-13 31-Dec-13 Type A 13-Mar-09 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cabarrus County Group Home #8 P.O. Box 1197 Concord NC 28026 1211 North Church Street Salisbury NC 28144 Rowan (704)216-2276 "Cabarrus County Group Homes, Inc." 944604 MHL-080-169 "Cabarrus County Group Homes, Inc." 01-Jul-07 01-Jan-13 31-Dec-13 Type B 07-May-08 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cabarrus County Group Home #10 P.O. Box 1197 Concord NC 28026 160 Camelot Road Salisbury NC 28147 Rowan (704)855-0004 "Cabarrus County Group Homes, Inc." 051187 MHL-014-069 Caldwell Opportunities 26-Jul-07 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MD DAY Caldwell Opportunities 1617 College Avenue Lenoir NC 28645 1617 College Avenue Lenoir NC 28645 Caldwell (828)757-5680 060403 MHL-064-122 Calvin Brockington 09-Nov-10 01-Jan-13 31-Dec-13 Type B 01-Dec-11 - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Brockington's Home Healthcare 516 Lark Lane Rocky Mount NC 27803 516 Lark Lane Rocky Mount NC 27803 Nash (252)210-2059 Calvin Brockington 030145 MHL-092-546 "Canaan Care Home, LLC" 30-Jul-03 01-Jan-13 31-Dec-13 Type B 03-Jan-13 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Canaan Care Home 429/431 Waldo Street Cary NC 27511 429/431 Waldo Street Cary NC 27511 Wake (919)467-4574 030145 MHL-092-546 "Canaan Care Home, LLC" 30-Jul-03 01-Jan-13 31-Dec-13 Type B 03-Jan-13 - - 1 27G.5100 Community Respite Services A MR/DD RESIDENTL Canaan Care Home 429/431 Waldo Street Cary NC 27511 429/431 Waldo Street Cary NC 27511 Wake (919)467-4574 921588 MHL-065-033 "Cape Fear Group Homes, Inc." 01-Feb-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Robert E. Lee Group Home PO Box 4203 Wilmington NC 28406 1519 Robert E. Lee Drive Wilmington NC 28412 New Hanover (910)251-2555 "Cape Fear Group Homes, Inc." 921589 MHL-065-034 "Cape Fear Group Homes, Inc." 01-Feb-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Robin Hood Group Home PO Box 4203 Wilmington NC 28406 1507 Robin Hood Road Wilmington NC 28401 New Hanover (910)251-2555 "Cape Fear Group Homes, Inc." 101005 MHL-065-035 "Cape Fear Group Homes, Inc." 01-Feb-92 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Cape Fear Group Homes Day Program PO Box 4203 Wilmington NC 28406 1504 N. Kerr Avenue Wilmington NC 28405 New Hanover (910)251-2555 "Cape Fear Group Homes, Inc." 101005 MHL-065-035 "Cape Fear Group Homes, Inc." 01-Feb-92 01-Jan-13 31-Dec-13 - - - - 0 27G.5500 Sheltered Workshops C&ADOL&A MI DAY Cape Fear Group Homes Day Program PO Box 4203 Wilmington NC 28406 1504 N. Kerr Avenue Wilmington NC 28405 New Hanover (910)251-2555 "Cape Fear Group Homes, Inc." 110451 MHL-032-564 "Care Finders Agency, LLC" 10-Aug-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Care Finders Agency, LLC" PO Box 1464 Durham NC 27702 1530 N. Gregson Street Durham NC 27701 Durham (919)286-0293 120631 MHL-064-138 "Care Networks, Inc." 23-Jan-13 23-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Care Networks, Inc." PO Box 1704 Spring Hope NC 27882 13705 NC Hwy 98 West Spring Hope NC 27882 Nash (252)478-7008 100293 MHL-060-1089 "Care-Well of Charlotte, Inc." 19-Dec-08 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY My Way Day Supports 6608-C East W.T. Harris Boulevard Charlotte NC 28215 6608-C East W.T. Harris Boulevard Charlotte NC 28215 Mecklenburg (704)537-0052 "Care-well of Charlotte, Inc." 120230 MHL-041-1047 "CareLink Solutions, Inc." 26-Jun-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "CareLink Solutions, Inc." 411-D Ayalon Street Greensboro NC 27401 1214 Grove Street Greensboro NC 27403 Guilford (336)285-6887 010140 MHL-092-412 "Caring For Wake Community and the Carolinas, Inc." 13-Mar-01 01-Jan-13 31-Dec-13 Revoke 22-Aug-07 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Bradley Home Extension-Kimberly House PO Box 2055 Garner NC 27529 6420 Malibu Drive Raleigh NC 27603 Wake (919)649-5435 "Caring For Wake Community, Inc." 120380 MHL-032-562 "Caring Hands & Supplementary Enrichment Education, LLC" 18-May-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Caring Hands & Supplementary Enrichment Education, LLC" "2216 S. Miami Boulevard, Suite 101" Durham NC 27703 103 Bassett Hall Drive Durham NC 27703 Durham (919)908-9559 120267 MHL-073-064 "Caring Hands and Supplementary Enrichment Education,LLC" 02-Nov-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C MI RESIDENTL Crutchfield's Caring Hands "2216 S. Miami Blvd, Ste. 101" Durham NC 27703 2865 Virgilina Road Roxboro NC 27574 Person (336)597-2598 Caring Hands & Suppl. Enrchmnt. Educ. LLC 011076 MHL-041-872 "Caring Services, Inc." 13-Jun-08 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Caring Services, Inc." PO Box 6219 High Point NC 27262 102 / 104 Chestnut Street High Point NC 27262 Guilford (336)886-5594 "Caring Services, Inc." 110776 MHL-078-290 "Caring Touch Home & Behavioral Health Care, LLC" 26-Sep-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Caring Touch Home & Behavioral Health Care 799 James Lynn Drive Pembroke NC 28372 "1384 Linkhaw Road, Suite A" Lumberton NC 28358 Robeson (910)737-4004 110777 MHL-078-262 "Caring Touch Home & Behavioral Health Care, LLC" 10-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Caring Touch Empowerment Center 799 James Lynn Drive Pembroke NC 28372 "1384 Linkhaw Road, Suite B" Lumberton NC 28358 Robeson (910)737-4004 "Caring Touch Home & Behavioral Health Care, LLC" 010025 MHL-012-123 "Caring for Children, Inc." 19-Jul-10 01-Jan-13 31-Dec-13 - - - - 6 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Caring for Children-Phoenix Home for Girls P.O. Box 19113 Asheville NC 28815 5560 White Oaks Drive Morganton NC 28655 Burke (828)584-4571 "Caring for Children, Inc." 922378 MHL-012-124 "Caring for Children, Inc." 19-Jul-10 01-Jan-13 31-Dec-13 - - - - 5 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Caring for Children-Phoenix Home for Boys P. O. Box 19113 Asheville NC 28815 117 William Parks Lane Morganton NC 28655 Burke (828)584-1589 922425 MHL-067-011 "Carobell, Inc." 01-May-89 01-Jan-13 31-Dec-13 - - - - 8 27G.2100 Specialized Community Residential Center C&ADOL MR/DD RESIDENTL ICF Queen's Pond 198 Cinnamon Drive Hubert NC 28539 561 Queen's Creek Road Hubert NC 28539 Onslow (910)326-7600 "Carobell, Inc." 922425 MHL-067-011 "Carobell, Inc." 01-May-89 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Queen's Pond 198 Cinnamon Drive Hubert NC 28539 561 Queen's Creek Road Hubert NC 28539 Onslow (910)326-7600 "Carobell, Inc." 922651 MHL-016-004 "Carobell, Inc." 03-Feb-86 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Station Club Enterprise 198 Cinnamon Drive Hubert NC 28539 306 Church Street Morehead City NC 28557 Carteret (252)240-1025 "Carobell, Inc." 922651 MHL-016-004 "Carobell, Inc." 03-Feb-86 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Station Club Enterprise 198 Cinnamon Drive Hubert NC 28539 306 Church Street Morehead City NC 28557 Carteret (252)240-1025 "Carobell, Inc." 952537 MHL-067-014 "Carobell, Inc." 01-Nov-90 01-Jan-13 31-Dec-13 - - - - 24 27G.2100 Specialized Community Residential Center C&ADOL&A MR/DD RESIDENTL ICF Sandridge 198 Cinnamon Drive Hubert NC 28539 199 Cinnamon Drive Hubert NC 28539 Onslow (910)326-7600 "Carobell, Inc." 991173 MHL-067-104 "Carobell, Inc." 20-Dec-99 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs NONE MR/DD DAY Carobell Day Program/Day Activity Program 198Cinnamon Drive Hubert NC 28539 196 & 198 Cinnamon Drive Hubert NC 28539 Onslow (910)326-7600 "Carobell, Inc." 991173 MHL-067-104 "Carobell, Inc." 20-Dec-99 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A NONAMB2 DAY Carobell Day Program/Day Activity Program 198Cinnamon Drive Hubert NC 28539 196 & 198 Cinnamon Drive Hubert NC 28539 Onslow (910)326-7600 "Carobell, Inc." 040031 MHL-032-317 Carol Johnson 19-Feb-04 01-Jan-13 31-Dec-13 Suspension of Admission 15-Dec-09 - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL "Johnson's House of Hope Family Care Home, LLC" 2509 Rolling Pines Avenue Durham NC 27703 2509 Rolling Pines Avenue Durham NC 27703 Durham (919)598-6416 "Johnson's House of Hope Family Care, LLC" 041486 MHL-012-099 Carol McGalliard 17-Jun-05 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Sunnyside Group Home 1940 Sunnyside Drive Morganton NC 28655 2015 Sunnyside Drive Morganton NC 28655 Burke (828)437-6508 101071 MHL-092-797 Carolina Behavioral Support Services Inc 03-Nov-10 27-Feb-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Carolina Behavioral Support Center "7048 Knightdale Blvd., Suite 101" Knightdale NC 27545 "7048 Knightdale Blvd., Suite 101" Knightdale NC 27545 Wake (919)266-3591 101071 MHL-092-797 Carolina Behavioral Support Services Inc 03-Nov-10 27-Feb-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Carolina Behavioral Support Center "7048 Knightdale Blvd., Suite 101" Knightdale NC 27545 "7048 Knightdale Blvd., Suite 101" Knightdale NC 27545 Wake (919)266-3591 101071 MHL-092-797 Carolina Behavioral Support Services Inc 03-Nov-10 27-Feb-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Carolina Behavioral Support Center "7048 Knightdale Blvd., Suite 101" Knightdale NC 27545 "7048 Knightdale Blvd., Suite 101" Knightdale NC 27545 Wake (919)266-3591 922384 MHL-036-282 "Carolina Center for Counseling & Clinical Services, Inc" 18-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Carolina Center PSR P.O. Box 550178 Gastonia NC 28055 910 Roberts Drive Gastonia NC 28054 Gaston (704)704-8647 030539 MHL-025-186 "Carolina Choice, LLC" 29-May-02 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL AMB DAY Carolina Choice Children&Youth Ther. Learning Ctr. PO Box 12189 New Bern NC 28561 3300 Trent Road New Bern NC 28561 Craven (252)633-2587 "Carolina Choice, LLC" 090922 MHL-074-241 "Carolina Choice, LLC" 01-Sep-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Carolina Choice Day Treatment PO Box 12189 New Bern NC 28561 2313-B Executive Circle Greenville NC 27834 Pitt (252)353-4968 "Carolina Choice, LLC" 100425 MHL-083-047 "Carolina Community Support Services, Inc." 03-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Carolina Outreach Services LLC "411 Andrews Road, Suite 130" Durham NC 27705 122-E Cronley Street Laurinburg NC 28352 Scotland (919)682-5777 "Carolina Comm. Support Srvcs., Inc." 110849 MHL-032-524 "Carolina Community Support Services, Inc." 29-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Carolina Community Support Services, Inc." "411 Andrews Rd., Ste. #130" Durham NC 27705 "411 Andrews Road, Suite #130" Durham NC 27705 Durham (919)682-5777 100656 MHL-060-1177 "Carolina Family Alliance, Inc." 31-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Carolina Family Alliance "1235 East Boulevard , Suite 242" Charlotte NC 28203 "4917 Albemarle Rd., Ste. 102 & 105" Charlotte NC 28205 Mecklenburg (704)536-9378 "Carolina Family Alliance, Inc." 090985 MHL-060-1131 "Carolina Family Comprehensive Services, Inc." 08-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Carolina Family Comprehensive Services, Inc." 1935 J N Pease PL. Ste.104 Charlotte NC 28262 "1935 J N Pease Place, Ste. 101 & 102" Charlotte NC 28262 Mecklenburg (704)548-9600 "Carolina Family Comprehensive Services, Inc." 090985 MHL-060-1131 "Carolina Family Comprehensive Services, Inc." 08-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Carolina Family Comprehensive Services, Inc." 1935 J N Pease PL. Ste.104 Charlotte NC 28262 "1935 J N Pease Place, Ste. 101 & 102" Charlotte NC 28262 Mecklenburg (704)548-9600 "Carolina Family Comprehensive Services, Inc." 090985 MHL-060-1131 "Carolina Family Comprehensive Services, Inc." 08-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Carolina Family Comprehensive Services, Inc." 1935 J N Pease PL. Ste.104 Charlotte NC 28262 "1935 J N Pease Place, Ste. 101 & 102" Charlotte NC 28262 Mecklenburg (704)548-9600 "Carolina Family Comprehensive Services, Inc." 120071 MHL-077-068 "Carolina Family Comprehensive Services, Inc." 08-Mar-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation ADOL&A MI DAY "Carolina Family Comprehensive Services, Inc." "801 E. Broad Ave, Ste 9" Rockingham NC 28379 "801 East Broad Avenue, Suite 9" Rockingham NC 28379 Richmond (910)817-7194 120071 MHL-077-068 "Carolina Family Comprehensive Services, Inc." 08-Mar-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Carolina Family Comprehensive Services, Inc." "801 E. Broad Ave, Ste 9" Rockingham NC 28379 "801 East Broad Avenue, Suite 9" Rockingham NC 28379 Richmond (910)817-7194 080328 MHL-064-099 "Carolina Humana, Inc." 16-Feb-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Carolina Humana, Inc." 1008 Wilkins Street Rocky Mount NC 27803 1008 Wilkins Street Rocky Mount NC 27803 Nash (252)973-6480 Demetrius & Lora Thompson 921980 MHL-041-057 "Carolina Residential Care, Inc." 01-May-89 01-Jan-13 31-Dec-13 - - - - 9 27G.5600A Supervised Living MI Adult A MI RESIDENTL Hillcrest House 1505 West Friendly Avenue Greensboro NC 27403 1505 West Friendly Avenue Greensboro NC 27403 Guilford (336)273-1782 Carol Whitley 920111 MHL-099-015 "Carolina Residential Services, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type B 01-Feb-08 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Boonville Group Home PO Box 286 Rutherford NC 28671 130 Williams Street Boonville NC 27011 Yadkin (336)367-9039 "Carolina Residential Services, Inc." 920431 MHL-086-039 "Carolina Residential Services, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type B 08-Jul-11 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Gilmer Street Group Home P.O. Box 286 Rutherford College NC 28671 145 North Gilmer Street Mount Airy NC 27030 Surry (336)786-4196 "Carolina Residential Services, Inc" 920832 MHL-086-037 "Carolina Residential Services, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Spring Street Group Home PO Box 286 Rutherford NC 28671 910 Spring Street Mount Airy NC 27030 Surry (336)786-8032 "Carolina Residential Services, Inc." 080702 MHL-012-010 "Carolina Residential Services, Inc." 05-Feb-87 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY C.H.A.N.G.E Center PO Box 286 Rutherford College NC 28671 204 Avery Avenue Morganton NC 28655 Burke (828)438-6284 "Carolina Residential Services, Inc." 922194 MHL-082-007 "Carolina Residential Services, Inc." 01-Nov-90 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Mayflower House P.O. Box 286 Rutherford College NC 28671 307 Giddens Street Clinton NC 28328 Sampson (910)590-2641 "Carolina Residential Services, Inc." 922288 MHL-014-009 "Carolina Residential Services, Inc." 01-Jul-89 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "New Horizons, P.S.R." P.O. Box 286 Rutherford College NC 28671 247 Commercial Court Lenoir NC 28645 Caldwell (828)757-5710 922736 MHL-096-005 "Carolina Residential Services, Inc." 01-Oct-85 01-Jan-13 31-Dec-13 Type B 15-Jan-13 - - 0 27G.1200 Psychosocial Rehabilitation C&A MI DAY The Stepping Stone PO Box 286 Rutherford College NC 28671 714 Simmons Street Goldsboro NC 27530 Wayne (919)580-0020 "Carolina Residential Services, Inc." 924812 MHL-002-008 "Carolina Residential Services, Inc." 01-Jun-94 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Alexander PSR P.O. Box 286 Rutherford NC 28671 933 W. Main Street Taylorsville NC 28681 Alexander (828)632-0790 Carolina Residential Services 940353 MHL-086-038 "Carolina Residential Services, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Elkin Group Home PO Box 286 Rutherford NC 28671 534 Elkspur Street Elkin NC 28621 Surry (336)835-1101 "Carolina Residential Services, Inc." 980114 MHL-049-063 "Carolina Residential Services, Inc." 15-Dec-97 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kelly Group Home P.O. Box 286 Rutherford College NC 27671 804 Hunter Street Statesville NC 28677 Iredell (704)883-0850 980115 MHL-049-064 "Carolina Residential Services, Inc." 15-Dec-97 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Mulberry Group Home PO Box 286 Rutherford College NC 28671 730 N. Mulberry Street Statesville NC 28677 Iredell (704)883-0647 080796 MHL-031-016 "Carolina Residential Services, Inc." 19-Jun-98 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Lighthouse PSR mPO Box 286 Rutherford College NC 28671 103 South Front Street Warsaw NC 28398 Duplin (919)662-7873 "Carolina Residential Services, Inc." 991136 MHL-067-102 "Carolina Residential Services, Inc." 05-Dec-99 01-Jan-13 31-Dec-13 Type B 07-Apr-10 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Brynn Marr House PO Box 286 Rutherford College NC 28671 324 Pine Valley Road Jacksonville NC 28546 Onslow (910)353-1415 "Carolina Residential Services, Inc." 991137 MHL-067-103 "Carolina Residential Services, Inc." 05-Dec-99 01-Jan-13 31-Dec-13 Type A 26-Oct-05 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Glancy Street Home PO Box 286 Rutherford College NC 28671 413 Glancy Street Swansboro NC 28584 Onslow (910)325-0740 "Carolina Resd'l Svcs, Inc." 922422 MHL-031-063 "Carolina Residential Services, Inc." 05-Apr-07 01-Jan-13 31-Dec-13 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Providence Manor P.O. Box 286 Rutherford College NC 28671 314 East Westbrook Street Wallace NC 28466 Duplin (910)285-2720 "Carolina Residential Services, Inc." 922422 MHL-031-063 "Carolina Residential Services, Inc." 05-Apr-07 01-Jan-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services A MD RESIDENTL Providence Manor P.O. Box 286 Rutherford College NC 28671 314 East Westbrook Street Wallace NC 28466 Duplin (910)285-2720 "Carolina Residential Services, Inc." 922170 MHL-026-837 "Carolina Residential Services, Inc." 01-May-07 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Sunflower Enrichment Center P.O. Box 286 Rutherford College NC 28671 1014 Hay Street Fayetteville NC 28301 Cumberland (910)222-6065 "Carolina Residential Services, Inc." 110172 MHL-047-134 "Carolina Solution, Inc." 01-Sep-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Carolina Solution, Inc." PO Box 1293 Raeford NC 28376 128 West Elwood Avenue Raeford NC 28376 Hoke (910)875-6042 130053 MHL-004-032 "Carolina Solution, Inc." 03-May-12 18-Feb-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Carolina Solution, Inc." PO Box 1293 Raeford NC 28376 501 North Green Street Wadesboro NC 28170 Anson (704)994-9003 090101 MHL-074-203 "Carolina Support Services, Inc." 03-Apr-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Carolina Support Services Day Treatment Center - Site A PO Box 4236 Greenville NC 27836 621 West Firetower Road Winterville NC 28590 Pitt (252)355-2345 S. Lee Spruill 090102 MHL-074-204 "Carolina Support Services, Inc." 07-Apr-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Carolina Support Services Day Treatment Center - Site B PO Box 4236 Greenville NC 27836 475 Belvoir Highway Greenville NC 27834 Pitt (252)752-0721 "Carolina Support Services, Inc." 100041 MHL-051-179 "Carolina Support Services, Inc." 24-Feb-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Carolina Support Services Day Treatment Center - Site G PO Box 4236 Greenville NC 27836 609 Pollock Street Selma NC 27576 Johnston (919)965-5240 "Carolina Support Services, Inc." 100502 MHL-065-216 "Carolina Support Services, Inc." 28-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Carolina Support Services Day Treatment Center -Site P PO Box 4236 Greenville NC 27836 "2759 Vance Street, Unit A" Wilmington NC 28412 New Hanover (252)752-2002 "Carolina Support Services, Inc." 110863 MHL-065-235 "Carolina Support Services, Inc." 04-Nov-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Carolina Support Svs, Inc. Day Treatment Site at Mosley" PO Box 4236 Greenville NC 27836 3702 Princess Place Drive Wilmington NC 28405 New Hanover (910)251-6161 "Carolina Support Services, Inc." 080747 MHL-051-206 "Carolina Support Services, Inc." 16-Nov-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Carolina Support Services, Inc." "200 South Pollock Street, Ste B" Selma NC 27576 "200 South Pollock Street, Suite B" Selma NC 27576 Johnston (919)965-6770 100849 MHL-060-1190 "Carolina's Creative Counseling, P.A." 01-Nov-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL SAS DAY "Carolina's Creative Counseling, SAIOP" "325 Matthews Mint Hill Rd.,Ste. 105" Matthews NC 28105-2889 "325 Matthews Mint Hill Rd.,Ste. 105" Matthews NC 28105-2889 Mecklenburg (704)844-0310 "Carolina's Creative Counseling, P.A." 955368 MHL-036-075 "Carolinas Counseling & Consulting, LLC" 03-Jan-95 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA C&A SAS DAY Carolinas Counseling & Consulting 35 North Main Street Belmont NC 28012 35 North Main Street Belmont NC 28012 Gaston (704)825-9998 952214 MHL-060-1136 Carolinas Healthcare System-CMC Randolph 19-Apr-10 01-Jan-13 31-Dec-13 - - - - 14 27G.5000 Facility Crisis Svcs. for all Disability Groups A MI RESIDENTL Carolinas Healthcare System - CMC Randolph 501 Billingsley Road Charlotte NC 28211 447 Billingsley Road-Cottage A Charlotte NC 28211 Mecklenburg (704)444-2580 Jennifer Ziccardi 120619 MHL-009-044 Carolinas Home Care Agency Inc. 30-Jan-13 30-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Carolinas Home Care Agency Inc. PO Box 1723 Whiteville NC 28472 "1107 West Broad Street, Suite E4 & E6" Elizabethtown NC 28337 Bladen (910)862-2991 130003 MHL-024-100 Carolinas Home Care Agency Inc. 30-Jan-13 30-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY Day Activity Program PO Box 1723 Whiteville NC 28472 114 Premiere Plaza Whiteville NC 28472 Columbus (910)641-0059 "Carolinas Home Care Agency, Inc." 041651 MHL-009-024 "Carolinas Home Care Agency, Inc." 06-Mar-06 01-Jan-13 31-Dec-13 Type B 24-Aug-11 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Carolinas Home Care Agency, Inc." PO Box 1723 Whiteville NC 28472 1468 Richardson Rd Bladenboro NC 28320 Bladen (910)648-2166 090009 MHL-024-077 "Carolinas Home Care Agency, Inc." 27-Mar-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Carolinas Home Care Agency, Inc." PO Box 1723 Whiteville NC 28472 603 South Canal Street Whiteville NC 28472 Columbus (910)642-3700 Melody and Michael Campbell 090009 MHL-024-077 "Carolinas Home Care Agency, Inc." 27-Mar-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Bayada Nurses, Inc." "5505 Creedmoor Road, Suite 205" Raleigh NC 27612 "5505 Creedmoor Road, Suite 205" Raleigh NC 27612 Wake (919)785-4949 090269 MHL-024-081 "Carolinas Home Care Agency, Inc." 22-Sep-09 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Campground House PO Box 1723 Whiteville NC 28472 475 Campground Road Whiteville NC 28472 Columbus (910)642-3469 "Carolinas Home Care Agency, Inc." 101172 MHL-024-092 "Carolinas Home Care Agency, Inc." 11-Feb-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Washington House PO Box 1723 Whiteville NC 28472 403 Washington Street Whiteville NC 28472 Columbus (910)640-1551 "Carolinas Home Care Agency, Inc." 110327 MHL-078-291 "Carolinas Home Care Agency, Inc." 21-Oct-11 18-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Newgate House 603 South Canal Street Whiteville NC 28472 455 Newgate Street Lumberton NC 28358 Robeson (910)738-2004 "Carolinas Home Care Agency, Inc." 130017 MHL-009-043 "Carolinas Home Care Agency, Inc." 30-Jan-13 30-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&A MI DAY Carolinas Home Care Agency Inc. PO Box 1723 Whiteville NC 28472 1204 West Swanzy Street Elizabethtown NC 28337 Bladen (910)862-1515 "Carolinas Home Care Agency, Inc." 130017 MHL-009-043 "Carolinas Home Care Agency, Inc." 30-Jan-13 30-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&A MI DAY Carolinas Home Care Agency Inc. PO Box 1723 Whiteville NC 28472 1204 West Swanzy Street Elizabethtown NC 28337 Bladen (910)862-1515 "Carolinas Home Care Agency, Inc." 060968 MHL-040-047 "Carring Arms, Inc." 05-May-10 01-Jan-13 31-Dec-13 Intent to Revoke 16-Nov-11 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Carrie's Loving Hands 1432 Vandiford-Thomas Road Snow Hill NC 27580 1432 Vandiford-Thomas Road Snow Hill NC 28580 Greene (252)753-2912 Carring Arms Inc. 120117 MHL-051-204 "Carter Clinic, PA" 25-Jun-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Carter Clinic, PA" "183 Wind Chime Court, Suite 100" Raleigh NC 27615 19 Noble Street Smithfield NC 27577 Johnston (919)938-9842 120187 MHL-041-1043 Carter's Circle of Care Inc. 24-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment ADOL MI DAY "Carter's Circle of Care, Inc." 2031 Martin Luther King Jr Dr Ste E Greensboro NC 27406 "200 Fisher Avenue, Suite 104" High Point NC 27262 Guilford (336)905-8449 100211 MHL-041-951 "Carter's Circle of Care, Inc." 31-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Carter's Circle of Care, Inc." 2031-E MLK Jr Drive Greensboro NC 27406 2031- Suite E Martin Luther King Jr Drive Greensboro NC 27406 Guilford (336)271-5888 100210 MHL-041-952 "Carter's Circle of Care, Inc." 31-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Carter's Circle of Care, Inc." 2031-E MLK Jr. Drive Greensboro NC 27406 "2031- Suite D, Martin Luther King, Jr. Drive" Greensboro NC 27406 Guilford (336)271-5888 090174 MHL-041-1052 "Carter's Circle of Care, Inc." 05-Jul-12 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III ADOL MI RESIDENTL "Carter's Circle of Care, Inc." 2031Martin Luther King Jr Dr. Ste E Greensboro NC 27406 4137 Keely Road McLeansville NC 27301 Guilford (336)375-2150 030380 MHL-016-034 "Carteret Counseling Services, Inc." 05-Jan-07 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Carteret Counseling Services, Inc." 3820 Bridges Street Suite B Morehead City NC 28557 3820 Bridges Street Suite B Morehead City NC 28557 Carteret (252)648-3124 Carteret Counseling Services Inc 030380 MHL-016-034 "Carteret Counseling Services, Inc." 05-Jan-07 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "Carteret Counseling Services, Inc." 3820 Bridges Street Suite B Morehead City NC 28557 3820 Bridges Street Suite B Morehead City NC 28557 Carteret (252)648-3124 Carteret Counseling Services Inc 110978 MHL-092-843 "Cary Behavioral Health, PC" 21-May-12 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY "Cary Behavioral Health, PC" 160 NE Maynard Road Suite 200 Cary NC 27513 160 NE Maynard Road Suite 200 Cary NC 27513 Wake (919)466-7540 130121 MHL-041-1074 Case Management Care Inc. 11-Apr-13 11-Apr-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Case Management Care Inc. PO Box 16851 Greensboro NC 27415 3407-G West Wendover Avenue Greensboro NC 27407 Guilford (336)292-5478 "Case Management Care, Inc." 130121 MHL-041-1074 Case Management Care Inc. 11-Apr-13 11-Apr-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Case Management Care Inc. PO Box 16851 Greensboro NC 27415 3407-G West Wendover Avenue Greensboro NC 27407 Guilford (336)292-5478 "Case Management Care, Inc." 130121 MHL-041-1074 Case Management Care Inc. 11-Apr-13 11-Apr-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Case Management Care Inc. PO Box 16851 Greensboro NC 27415 3407-G West Wendover Avenue Greensboro NC 27407 Guilford (336)292-5478 "Case Management Care, Inc." 980574 MHL-067-073 Cassandra Hampton 22-Jun-98 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Hampton Home 100 Cypress Court Jacksonville NC 28540 100 Cypress Court Jacksonville NC 28540 Onslow (910)938-9373 980574 MHL-067-073 Cassandra Hampton 22-Jun-98 01-Jan-13 31-Dec-13 - - - - 2 27G.5100 Community Respite Services C&A MD DAY&RESL Hampton Home 100 Cypress Court Jacksonville NC 28540 100 Cypress Court Jacksonville NC 28540 Onslow (910)938-9373 040364 MHL-018-083 Catawba County DSS dba Family NET of Catawba County 30-Nov-07 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Catawba Valley Choices 3050 11th Avenue Drive SE Hickory NC 28602 409 8th Ave NE Hickory NC 28601 Catawba (828)244-9287 Family Net of Catawba County 080002 MHL-018-084 Catawba County DSS dba Family NET of Catawba County 18-Feb-08 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Catawba Rosenwald Life Coach Program 3050 11th Ave Drive SE Hickory NC 28602 300 South Main Street Catawba NC 28609 Catawba (828)234-3762 Catawba County DSS 921412 MHL-018-004 Catawba County DSS dba Family Net of Catawba Co. 05-Aug-85 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY A.C.T. 40 West Sixth Street Newton NC 28658 40 West Sixth Street Newton NC 28658 Catawba (828)464-0013 010588 MHL-018-059 Catawba County Department of Social Services 14-Mar-02 01-Jan-13 31-Dec-13 - - - - 6 27G.1300 Residential Treatment Level II C&ADOL MR/DD RESIDENTL Boyd Corner House II PO Box 669 Newton NC 28658 1108 West A Street Extension Newton NC 28658 Catawba (828)465-3024 Catawba Co. Dept. Social Svcs. 010579 MHL-018-060 Catawba County Department of Social Services 14-Mar-02 01-Jan-13 31-Dec-13 - - - - 6 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Corner House I at Stanton 1118 Radio Station Road Newton NC 25658 1116 West A Street Extension Newton NC 28658 Catawba (828)464-6840 Tom Bellamy 010905 MHL-018-003 Catawba County Department of Social Services 20-Aug-85 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY Family N.E.T. of Catawba County 3050 11th Avenue Drive SE Hickory NC 28602 3050 11th Avenue Drive SE Hickory NC 28602 Catawba (828)695-6500 921622 MHL-018-008 Catawba Valley Behavioral Healthcare 06-Oct-87 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Catawba County Group Home #1 327 First Avenue N.W. Hickory NC 28601 401 North Fourth Avenue Maiden NC 28650 Catawba (828)428-9992 Catawba Valley Behavioral Health 921623 MHL-018-015 Catawba Valley Behavioral Healthcare 21-Feb-89 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Catawba County Group Home #2 327 First Avenue NW Hickory NC 28601 608 Fourth Street SW Conover NC 28613 Catawba (828)465-5900 Residential Services Manager 921624 MHL-018-023 Catawba Valley Behavioral Healthcare 18-Sep-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Catawba County Group Home #3 "327 First Avenue, NW" Hickory NC 28601 1516 Steeple Street Conover NC 28613 Catawba (828)466-0348 Karen Wray 921682 MHL-018-013 Catawba Valley Behavioral Healthcare 27-Feb-89 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Community Housing Group Home 327 First Avenue NW Hickory NC 28601 1018 Fifth Street SE Hickory NC 28602 Catawba (828)322-6178 Sue Madurski 921689 MHL-018-020 Catawba Valley Behavioral Healthcare 01-Apr-90 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Connections PO Box 1256 Newton NC 28658 1679 US Highway 321 South Newton NC 28658 Catawba (828)466-0030 Connections 944845 MHL-018-026 Catawba Valley Behavioral Healthcare 08-Apr-93 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Catawba County Group Home #4 327 First Avenue NW Hickory NC 28601 722 Eighth Avenue S.W. Conover NC 28613 Catawba (828)465-5678 Sue Madurski 000117 MHL-020-024 Cathy Davidson 10-Feb-00 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C MI RESIDENTL Rising Sun 944 NC Highway 141 Murphy NC 28906 944 NC Highway 141 Murphy NC 28906 Cherokee (828)837-8357 120306 MHL-001-187 "Ceesons of Change, LLC" 19-Nov-09 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Ceesons of Change PO Box 1553 Burlington NC 27216 1536 Morningside Drive Burlington NC 27217 Alamance (336)270-5030 "Ceesons of Change, LLC" 956900 MHL-053-030 "Center for Behavioral Healthcare, P.A." 01-Nov-95 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "Center for Behavioral Healthcare, P.A." "138 South Steele St., 2nd Fl. Ste.P" Sanford NC 27330-4201 "138 South Steele St., 2nd Floor" Sanford NC 27330 Lee (919)776-0303 956900 MHL-053-030 "Center for Behavioral Healthcare, P.A." 01-Nov-95 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Center for Behavioral Healthcare, P.A." "138 South Steele St., 2nd Fl. Ste.P" Sanford NC 27330-4201 "138 South Steele St., 2nd Floor" Sanford NC 27330 Lee (919)776-0303 956900 MHL-053-030 "Center for Behavioral Healthcare, P.A." 01-Nov-95 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Center for Behavioral Healthcare, P.A." "138 South Steele St., 2nd Fl. Ste.P" Sanford NC 27330-4201 "138 South Steele St., 2nd Floor" Sanford NC 27330 Lee (919)776-0303 100896 MHL-053-065 "Center for Behavioral Healthcare, PA" 01-Oct-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C MI DAY "Center for Behavioral Healthcare, PA" "138 S. Steele Street, Second Floor" Sanford NC 27330 901 Lawrence Street Sanford NC 27330 Lee (919)776-2413 921631 MHL-053-004 "Center for Independent Living, Inc." 01-Feb-85 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Center for Independent Living 209 Cole Street Sanford NC 27330 209 Cole Street Sanford NC 27330 Lee (919)774-6433 "Center for Independent Living, Inc." 061355 MHL-041-807 "Center of Progressive Strides, Inc." 06-Feb-07 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III A MI RESIDENTL Center of Progressive Strides 29 Holly Springs Lane Greensboro NC 27455 2212 Glenside Drive Greensboro NC 27405 Guilford (336)375-3099 "James Edward Hinson, Jr." 080229 MHL-041-877 "Center of Progressive Strides, Inc." 14-Oct-08 01-Jan-13 31-Dec-13 - - - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Progressive Steps 29 Holly Springs Lane Greensboro NC 27455 4103 Landerwood Court Greensboro NC 27405 Guilford (336)375-7985 "James E. Hinson, Jr. & Kevin E. Chandler" 040593 MHL-079-080 "Central Care Division, LLC" 11-Jan-05 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Amos Street House 1060 North Scales Street Reidsville NC 27320 1882 Amos Street Reidsville NC 27320 Rockingham (336)342-1750 "Central Care Division, LLC" 041065 MHL-079-083 "Central Care Division, LLC" 03-May-06 01-Jan-13 31-Dec-13 Type B 10-Sep-10 - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Miles Street House PO Box 1093 Reidsville NC 27323 722 Miles Street Eden NC 27288 Rockingham (336)347-7207 "Central Care Division, LLC" 090344 MHL-079-088 "Central Care Division, LLC" 12-Oct-07 01-Jan-13 31-Dec-13 - - - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Stadium House PO Box 1093 Reidsville NC 27323 907 Williams Street Eden NC 27288 Rockingham (336)623-1897 "Central Care Division, LLC" 090933 MHL-035-055 "Central Community Services, LLC" 29-Jan-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Independence House PO Box 2113 Oxford NC 27565 101 Industrial Drive Louisburg NC 27549 Franklin (919)496-3958 "Central Community Services, LLC" 110971 MHL-039-052 "Central Community Services, LLC" 14-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Independence House #2 PO Box 2113 Oxford NC 27565 209 E. McClanahan Street Oxford NC 27565 Granville (919)692-1248 "Central Community Services, LLC" 070506 MHL-032-583 Changing Lives Enrichment Center Inc. 21-Feb-13 21-Feb-13 31-Dec-13 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Changing Lives Residential Care PO Box 947 Durham NC 27702 1115 Chalk Level Road Durham NC 27704 Durham (919)768-9055 080801 MHL-041-894 "Changing Phases Behavioral Support, Inc." 06-Feb-09 25-Mar-13 31-Dec-13 - - - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Ocean of Dreams Facility "338 N. Elm St., Ste. 215" Greensboro NC 27401 1609 Clemmons Street Greensboro NC 27406 Guilford (336)272-8197 Changing Phases Behavioral Support / Q. Culli 120233 MHL-041-1046 "Changing Phases Behavioral Support, Inc." 29-May-12 25-Mar-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Changing Phases Behavioral Support, Inc." "338 North Elm Street, Suite 215" Greensboro NC 27401 "338 North Elm Street, Suite 215" Greensboro NC 27401 Guilford (336)333-2542 120233 MHL-041-1046 "Changing Phases Behavioral Support, Inc." 29-May-12 25-Mar-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "Changing Phases Behavioral Support, Inc." "338 North Elm Street, Suite 215" Greensboro NC 27401 "338 North Elm Street, Suite 215" Greensboro NC 27401 Guilford (336)333-2542 130059 MHL-064-141 "Changing Seasons Treatment Services, Inc." 02-Apr-13 02-Apr-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Changing Seasons Treatment Services Inc-RockyMount Site PO Box 8586 Greenville NC 27835 142-A Woodridge Court Rocky Mount NC 27804 Nash (252)443-3130 "Changing Seasons Treatment Services, Inc." 130061 MHL-098-185 "Changing Seasons Treatment Services, Inc." 02-Apr-13 02-Apr-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Changing Seasons Treatment Services Inc. - Wilson Site PO Box 8586 Greenville NC 27835 2231 Nash Street NW Suite B Wilson NC 27896 Wilson (252)237-0182 "Changing Seasons Treatment Services, Inc." 120140 MHL-033-116 "Changing Seasons Treatment Services, Inc." 14-Apr-13 14-Apr-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Changing Seasons Treatment Services, Inc.- Tarboro Site" PO Box 8586 Greenville NC 27834 "201 East Pitt Street, Room 208 & 209" Tarboro NC 27886 Edgecombe (252)563-5902 120264 MHL-078-299 Charity Care Associates LLC 03-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Charity Care Associates Behavioral Health Center PO Box 489 Rowland NC 28383 204 West Main Street Rowland NC 28383 Robeson (910)422-8573 Charity Care Associates LLC 120265 MHL-026-930 Charity Care Associates LLC 03-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Charity Care Associates Behavioral Health Center PO Box 489 Rowland NC 28383 1713 Ramsey Street Fayetteville NC 28301 Cumberland (910)476-0628 Charity Care Associates LLC 970244 MHL-092-262 Charles & Luease Cyrus 26-Feb-97 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&A MR/DD RESIDENTL Cyrus Home 2313 Merganzer Road Raleigh NC 27616 2313 Merganzer Road Raleigh NC 27616 Wake (919)217-0015 Charles & Luease Cyrus 990369 MHL-034-106 Charles and Belinda Lawson 01-Mar-99 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MR/DD RESIDENTL Lawson Home 2835 Neushore Drive Winston-Salem NC 27127 2835 Neushore Drive Winston Salem NC 27127 Forsyth (336)784-0304 922213 MHL-060-009 Charlotte Meck. Hospital Authority dba BHC CMC Randolph 01-Jan-86 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization A MI DAY Mecklenburg County AMH-Partial Hospitalization 501 Billingsley Road Charlotte NC 28211 441 Billingsley Road-Cottage E Charlotte NC 28211 Mecklenburg (704)358-2700 CMC Randolph 010030 MHL-019-031 "Chatham County Group Homes, Inc." 23-Apr-01 01-Jan-13 31-Dec-13 Type B 19-May-09 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Nooe House B 217 East Beaver Street Siler City NC 27344 223 Watkins Drive Siler City NC 27344 Chatham (919)742-2510 "Chatham County Group Home, Inc." 010031 MHL-019-030 "Chatham County Group Homes, Inc." 15-Feb-01 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Nooe House A PO Box 207 Siler City NC 27344 225 Watkins Drive Siler City NC 27344 Chatham (919)742-2510 "Chatham County Group Home, Inc." 980633 MHL-019-021 "Chatham County Group Homes, Inc." 23-Nov-98 01-Jan-13 31-Dec-13 Type A 18-Apr-08 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Perkins Place 217 East Beaver Street Siler City NC 27344 400 Carolina Avenue Siler City NC 27344 Chatham (919)742-2789 Chatham County Group Homes 990380 MHL-019-022 "Chatham County Group Homes, Inc." 28-Apr-99 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Winfred West 217 East Beaver Street Siler City NC 27344 506 West Fifth Street Siler City NC 27344 Chatham (919)742-2510 "Chatham County Group Homes, Inc." 990574 MHL-019-023 "Chatham County Group Homes, Inc." 25-Jun-99 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Griffin House PO Box 207 Siler City NC 27344 323 Martin Luther King Boulevard Siler City NC 27344 Chatham (919)742-2510 "Chatham County Group Homes, Inc." 990997 MHL-019-026 "Chatham County Group Homes, Inc." 22-Oct-99 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Chatham County Group Home #1 "217 East Beaver Street., Box 207" Siler City NC 27344 320 Martin Luther King Blvd. Siler City NC 27344 Chatham (919)742-7466 "Chatham County Group Homes, Inc." 990998 MHL-019-027 "Chatham County Group Homes, Inc." 22-Oct-99 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Chatham County Group Home #2 217 East Beaver Street Siler City NC 27344 1011 West Fifth Street Siler City NC 27344 Chatham (919)742-3011 "Chatham County Group Homes, Inc." 990999 MHL-019-028 "Chatham County Group Homes, Inc." 22-Oct-99 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Chatham County Group Home #3 217 East Beaver Street Siler City NC 27344 813 Tanglewood Drive Siler City NC 27344 Chatham (919)742-5911 "Chatham County Group Homes, Inc." 030783 MHL-019-034 "Chatham County Group Homes, Inc." 05-Aug-03 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A AMB DAY READD Center PO Box 207 Siler City NC 27344 251 Lynnbrook Road Siler City NC 27344 Chatham (919)742-1300 "Chatham County Group Homes, Inc." 060796 MHL-019-040 "Chatham Trades, Inc." 06-Sep-06 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs NONE NONE DAY "Chatham Trades, Inc." PO Box 511 Siler City NC 27344 909 Alston Bridge Road Siler City NC 27344 Chatham (919)663-3481 110184 MHL-092-816 Chelevia T. Morin 29-Apr-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Ms. Chevi's Place 1227 Jamestown Court Franklinton NC 27511 1227 Jamestown Court Cary NC 27511 Wake (919)526-7963 Chelevia T. Morin 941642 MHL-067-010 "Chemical Dependence Training Evaluation & Guidance, Inc" 01-Nov-87 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "CDTEG, Inc." PO Box 1743 Jacksonville NC 28541 230 New Bridge Street Jacksonville NC 28540 Onslow (910)347-4477 "CDTEG, Inc." 050089 MHL-090-162 "Chemical Dependency Services, Inc." 13-Feb-08 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Chemical Dependency Services 308-B West Windsor Street Monroe NC 28112 308-B West Windsor Street Monroe NC 28112 Union (704)289-4877 Walter Beck 050089 MHL-090-162 "Chemical Dependency Services, Inc." 13-Feb-08 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Chemical Dependency Services 308-B West Windsor Street Monroe NC 28112 308-B West Windsor Street Monroe NC 28112 Union (704)289-4877 Walter Beck 070698 MHL-001-156 Cherry S. Crisp 06-Feb-08 01-Jan-13 31-Dec-13 Type B 30-Nov-10 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Lillies Place 1804 Harris Drive Burlington NC 27215 1804 Harris Drive Burlington NC 27215 Alamance (336)222-9424 Cherry S. Crisp 080572 MHL-051-170 Children Under Construction Treatment Center Barnes Inc 14-Jan-09 01-Jan-13 31-Dec-13 - - - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Children Under Construction Treatment Center Barnes Inc 42 Jewel Lane Four Oaks NC 27524 42 Jewel Lane Four Oaks NC 27524 Johnston (919)934-8611 James D. Barnes Jr. Corporation 100836 MHL-036-285 "Children's Advocacy Network, LLC" 01-Oct-10 01-Jan-13 31-Dec-13 Type A 05-Mar-13 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL A Childs' Journey "1552 Union Road, Suite E" Gastonia NC 28054 526 Ruby Lane Gastonia NC 28054 Gaston (704)868-5805 "Children's Advocacy Network, LLC" 020808 MHL-041-655 Chisholm Homes 21-Oct-02 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Chisholm Homes III 425 North Scientific Street High Point NC 27260 425 North Scientific Street High Point NC 27260 Guilford (336)887-2402 960563 MHL-041-605 Chisholm Homes II 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Chisholm Homes #II 431 North Scientific Street High Point NC 27260 305 Newview Road High Point NC 27260 Guilford (336)454-0277 Penny S. Chisholm 090149 MHL-047-117 Chris Dempster 03-Apr-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A MD DAY "Integrated Behavioral Healthcare Services, Inc. #2" PO Box 87705 Fayetteville NC 28304 515 Harris Avenue Raeford NC 28376 Hoke (910)904-5500 Chris Dempster 090149 MHL-047-117 Chris Dempster 03-Apr-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A MD DAY "Integrated Behavioral Healthcare Services, Inc. #2" PO Box 87705 Fayetteville NC 28304 515 Harris Avenue Raeford NC 28376 Hoke (910)904-5500 Chris Dempster 120596 MHL-083-041 Chris Dempster 03-Apr-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Integrated Behavioral Healthcare Services Inc. #1 601 Atkinson Street Laurinburg NC 28352 601 Atkinson Street Laurinburg NC 28352 Scotland (910)276-5101 Chris Dempster 120596 MHL-083-041 Chris Dempster 03-Apr-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Integrated Behavioral Healthcare Services Inc. #1 601 Atkinson Street Laurinburg NC 28352 601 Atkinson Street Laurinburg NC 28352 Scotland (910)276-5101 Chris Dempster 120401 MHL-041-1060 "Chris's Rehabilitative Services, LLC" 16-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Chris's Rehabilitative Services, LLC" "620 South Elm St., Room 335" Greensboro NC 27406 "620 South Elm St., Room 366" Greensboro NC 27406 Guilford (336)617-3236 120401 MHL-041-1060 "Chris's Rehabilitative Services, LLC" 16-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Chris's Rehabilitative Services, LLC" "620 South Elm St., Room 335" Greensboro NC 27406 "620 South Elm St., Room 366" Greensboro NC 27406 Guilford (336)617-3236 120401 MHL-041-1060 "Chris's Rehabilitative Services, LLC" 16-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 "Chris's Rehabilitative Services, LLC" "620 South Elm St., Room 335" Greensboro NC 27406 "620 South Elm St., Room 366" Greensboro NC 27406 Guilford (336)617-3236 120401 MHL-041-1060 "Chris's Rehabilitative Services, LLC" 16-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Chris's Rehabilitative Services, LLC" "620 South Elm St., Room 335" Greensboro NC 27406 "620 South Elm St., Room 366" Greensboro NC 27406 Guilford (336)617-3236 101255 MHL-041-1004 "Chris's Rehablative Services, LLC" 24-Jan-11 25-Feb-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Chris's Rehablative Services, LLC" 2306 W Meadowview Rd Ste 105 Greensboro NC 27407 2306 W. Meadowview Road Suite 105 Greensboro NC 27407 Guilford (336)617-3236 101255 MHL-041-1004 "Chris's Rehablative Services, LLC" 24-Jan-11 25-Feb-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Chris's Rehablative Services, LLC" 2306 W Meadowview Rd Ste 105 Greensboro NC 27407 2306 W. Meadowview Road Suite 105 Greensboro NC 27407 Guilford (336)617-3236 040024 MHL-070-019 "Christian Medical Center, Inc." 08-Sep-97 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Christian Medical Center, Inc." 504 E. Elizabeth St. Suite 1 Elizabeth City NC 27909 2008 Cedar Point Circle Elizabeth City NC 27909 Pasquotank (252)679-7497 130119 MHL-070-050 "Christian Medical Center, Inc." 14-May-10 04-Apr-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Christian Medical Center, Inc." 1290 Halstead Blvd. Elizabeth City NC 27909 1290 Halstead Blvd. Elizabeth City NC 27909 Pasquotank (252)331-7082 050494 MHL-060-973 "Christian Women of Elegance, Inc." 03-Nov-05 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program NONE SAS DAY Beatties Ford Road Family Counseling Center 1406 Beatties Ford Road Charlotte NC 28216 1406 Beatties Ford Road Charlotte NC 28216 Mecklenburg (704)332-9434 Frances Hall 050494 MHL-060-973 "Christian Women of Elegance, Inc." 03-Nov-05 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment NONE SAS DAY Beatties Ford Road Family Counseling Center 1406 Beatties Ford Road Charlotte NC 28216 1406 Beatties Ford Road Charlotte NC 28216 Mecklenburg (704)332-9434 Frances Hall 100467 MHL-082-083 "Christian's House of Hope, Inc." 28-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Christian's House of Hope, Inc." 25575 US Highway 421 Willard NC 28478 3101 Wilmington Highway Willard NC 28478 Sampson (910)532-6366 "Christian's House of Hope, Inc." 110857 MHL-092-833 Chuck B. Anumudu/Christiana O. Anumudu 21-Dec-11 01-Jan-13 31-Dec-13 Intent to Revoke 31-Jan-13 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Care One Homes 4921 Knights Bridge Way Raleigh NC 27604 926 Edison Road Raleigh NC 27610 Wake (919)212-3705 080705 MHL-065-206 "Circle of Courage Support Services, LLC" 05-Mar-08 01-Jan-13 31-Dec-13 Suspension of Admission 08-Mar-13 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Faith House 3806 Park Avenue Suite A Wilmington NC 28403 211 Spargo Place Wilmington NC 28409 New Hanover (910)799-0555 Circle of Courage 110372 MHL-064-124 "Citizens Choice, LLC" 27-Jun-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Citizens Choice, LLC" 917 Ellery Drive Greenville NC 27834 "3300 Sunset Ave., Suite F" Rocky Mount NC 27804 Nash (252)557-9797 070268 MHL-092-681 Clara Downing Bain 30-Apr-07 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY North Carolina Recovery Support Services 1100 Navaho Drive #125 Raleigh NC 27609 "1100 Navaho Drive, Suite 125" Raleigh NC 27609 Wake (919)431-9874 Clara Downing Bain 070268 MHL-092-681 Clara Downing Bain 30-Apr-07 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY North Carolina Recovery Support Services 1100 Navaho Drive #125 Raleigh NC 27609 "1100 Navaho Drive, Suite 125" Raleigh NC 27609 Wake (919)431-9874 Clara Downing Bain 070268 MHL-092-681 Clara Downing Bain 30-Apr-07 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY North Carolina Recovery Support Services 1100 Navaho Drive #125 Raleigh NC 27609 "1100 Navaho Drive, Suite 125" Raleigh NC 27609 Wake (919)431-9874 Clara Downing Bain 120174 MHL-001-131 Clara Yancey and Cherry Crisp 09-Mar-06 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Dee & G Enrichment Center #2 1804 Harris Drive Burlington NC 27217 810 N. Main Street Burlington NC 27216 Alamance (336)227-0824 Clara Yancey and Cherry Crisp 991004 MHL-092-396 Clarice Faulkner 18-Oct-99 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Serenity Place PO Box 1583 Cary NC 27512 7901 Old Stage Road Raleigh NC 27603 Wake (919)661-3453 Clarice Faulkner 090614 MHL-041-1025 "Classic Care Family Services, LLC" 25-Jul-11 01-Jan-13 31-Dec-13 - - - - 2 27G.5600B Supervised Living DD Minor C MR/DD RESIDENTL Classic Care Family Services-(CCFS II) PO Box 78026 Greensboro NC 27427 7604 Fairhaven Road Brown Summit NC 27214 Guilford (336)295-3378 "Classic Care Family Services, LLC" 010225 MHL-018-056 "Clay, Wilson and Associates" 12-Mar-01 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA ADOL&A SAS DAY The Cognitive Connection 1109 2nd Avenue SW Hickory NC 28602 1109 2nd Avenue SW Hickory NC 28602 Catawba (828)327-6026 010225 MHL-018-056 "Clay, Wilson and Associates" 12-Mar-01 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY The Cognitive Connection 1109 2nd Avenue SW Hickory NC 28602 1109 2nd Avenue SW Hickory NC 28602 Catawba (828)327-6026 980804 MHL-012-066 "Clean on Green, PLLC" 21-Aug-98 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Clean on Green 313 North Green Street Morganton NC 28655 313 North Green Street Morganton NC 28655 Burke (828)438-1002 980804 MHL-012-066 "Clean on Green, PLLC" 21-Aug-98 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Clean on Green 313 North Green Street Morganton NC 28655 313 North Green Street Morganton NC 28655 Burke (828)438-1002 041318 MHL-025-221 Cleatrice Campbell 08-Jun-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MD RESIDENTL Blessed Haven 1025 Plymouth Drive New Bern NC 28562 1025 Plymouth Drive New Bern NC 28562 Craven (252)638-4195 Cleatrice Campbell 921420 MHL-023-004 "Cleveland Psychosocial Services, Inc." 25-Aug-86 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Adventure House 924 N. Lafayette Street Shelby NC 28150 924 N. Lafayette Street Shelby NC 28150 Cleveland (704)482-3370 921663 MHL-023-002 "Cleveland Vocational Industries, Inc." 10-May-85 01-Jan-13 31-Dec-13 - - - - 0 27G.5500 Sheltered Workshops A MD DAY "Cleveland Vocational Industries, Inc." 650 North Post Road Shelby NC 28150 650 North Post Road Shelby NC 28150 Cleveland (704)471-0606 921663 MHL-023-002 "Cleveland Vocational Industries, Inc." 10-May-85 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Cleveland Vocational Industries, Inc." 650 North Post Road Shelby NC 28150 650 North Post Road Shelby NC 28150 Cleveland (704)471-0606 050338 MHL-023-140 "Cleveland Vocational Industries, Inc." 12-Jul-07 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Harvest Works Community Center 650 N. Post Road Shelby NC 28150 891 North Post Road Shelby NC 28150 Cleveland (704)487-7777 "Cleveland Vocational Industries, Inc." 000119 MHL-092-411 Clifford Thomas 01-Feb-00 01-Jan-13 31-Dec-13 Type A 11-Aug-10 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Thomas Supervised Care 7016 Beaverwood Drive Raleigh NC 27616 7016 Beaverwood Drive Raleigh NC 27616 Wake (919)431-0100 Clifford Thomas 080574 MHL-092-735 Clora Webb 07-Jan-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C MD RESIDENTL Clora's Angels Home 7205 Jonathan Drive Wendell NC 27591 7205 Jonathan Drive Wendell NC 27591 Wake (919)365-9026 041110 MHL-092-613 "Club Horizon, Inc." 07-Sep-04 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL MI DAY Club Horizon 101-B Forest Drive Knightdale NC 27545 101-B Forest Drive Knightdale NC 27545 Wake (919)266-2202 Club Horizon 921665 MHL-068-017 "Club Nova Community, Inc." 01-Jan-88 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Club Nova P.O. Box 1346 Carrboro NC 27510 103-D West Main Street Carrboro NC 27510 Orange (919)968-6682 981030 MHL-065-099 Coastal Enterprises of Jacksonville Inc. 03-Nov-98 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Coastal Enterprises of Wilmington PO Box 3375 Wilmington NC 28406 1214 Kidder Street Wilmington NC 28401 New Hanover (910)763-3424 Coastal Enterprises of Wilmington 011124 MHL-065-011 "Coastal Horizons Center, Inc." 01-Jan-85 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone NONE SAS DAY "Coastal Horizons Center, Inc." 615 Shipyard Boulevard Wilmington NC 28412 615 Shipyard Boulevard Wilmington NC 28412 New Hanover (910)343-0145 "Coastal Horizons Center, Inc." 011124 MHL-065-011 "Coastal Horizons Center, Inc." 01-Jan-85 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA NONE SAS DAY "Coastal Horizons Center, Inc." 615 Shipyard Boulevard Wilmington NC 28412 615 Shipyard Boulevard Wilmington NC 28412 New Hanover (910)343-0145 "Coastal Horizons Center, Inc." 011124 MHL-065-011 "Coastal Horizons Center, Inc." 01-Jan-85 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program NONE SAS DAY "Coastal Horizons Center, Inc." 615 Shipyard Boulevard Wilmington NC 28412 615 Shipyard Boulevard Wilmington NC 28412 New Hanover (910)343-0145 "Coastal Horizons Center, Inc." 091024 MHL-010-071 "Coastal Horizons Center, Inc." 21-May-09 01-Jan-13 31-Dec-13 - - - - 0 27G.3300 Outpatient Detoxification A SAS DAY "Coastal Horizons Center, Inc." 615 Shipyard Boulevard Wilmington NC 28470 120 Coastal Horizons Center Drive Shallotte NC 28470 Brunswick (910)754-4515 "Coastal Horizons Center, Inc." 091024 MHL-010-071 "Coastal Horizons Center, Inc." 21-May-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Coastal Horizons Center, Inc." 615 Shipyard Boulevard Wilmington NC 28470 120 Coastal Horizons Center Drive Shallotte NC 28470 Brunswick (910)754-4515 "Coastal Horizons Center, Inc." 941583 MHL-071-036 "Coastal Horizons Center, Inc." 03-Dec-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Coastal Horizons Center - Pender 803 S. Walker St. Burgaw NC 28425 803 South Walker Street Burgaw NC 28425 Pender (910)259-0668 "Coastal Horizons Center, Inc." 020885 MHL-067-091 "Coastal Residential Services, Inc." 01-Apr-99 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Nantucket P.O. Box 7128 Jacksonville NC 28540 109 Lindsey Drive Jacksonville NC 28540 Onslow (910)347-4154 Attn: Carol Wilson 970265 MHL-067-049 "Coastal Residential Services, Inc." 05-Mar-97 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cape Cod PO Box 7128 Jacksonville NC 28540 202 East Doris Avenue Jacksonville NC 28540 Onslow (910)937-0841 "Coastal Residential Services, Inc." 970384 MHL-067-052 "Coastal Residential Services, Inc." 01-Apr-97 01-Jan-13 31-Dec-13 Type B 29-Feb-08 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Greenbriar-J PO Box 7128 Jacksonville NC 28540 211 Greenbriar Drive Jacksonville NC 28540 Onslow (910)353-9393 "Coastal Residential Services, Inc." 970672 MHL-067-059 "Coastal Residential Services, Inc." 26-Aug-97 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hillside Court PO Box 7128 Jacksonville NC 28540 108 Hillside Court Jacksonville NC 28540 Onslow (910)353-1653 "Coastal Residential Services, Inc." 970035 MHL-067-152 "Coastal Residential Services, Inc." 24-Oct-03 18-Apr-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Coastal Enhancement Services PO Box 7128 Jacksonville NC 28540 120 Henderson Drive Jacksonville NC 28540 Onslow (910)938-9550 "Coastal Residential Services , Inc." 100491 MHL-067-085 "Coastal Residential Services, Inc." 20-Apr-99 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Coastal Transitional Services Inc. PO Box 7128 Jacksonville NC 28540 "445 Western Boulevard, Suite T" Onslow NC 28540 Onslow (910)333-1880 Attn: Carol Wilson 110552 MHL-009-042 "Coastal Southeastern United Care, LLC" 22-Jul-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Coastal Southeastern United Care PO Box 1585 Shallotte NC 28459 "818 South Main Street, Unit B" Bladenboro NC 28320 Bladen (910)863-4000 "Coastal Southeastern United Care, LLC" 110552 MHL-009-042 "Coastal Southeastern United Care, LLC" 22-Jul-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Coastal Southeastern United Care PO Box 1585 Shallotte NC 28459 "818 South Main Street, Unit B" Bladenboro NC 28320 Bladen (910)863-4000 "Coastal Southeastern United Care, LLC" 100466 MHL-060-1246 Collaborative Hope 04-Jan-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Collaborative Hope SAIOP "1011 Palmer Plaza Lane, Suite 100" Charlotte NC 28211-1185 "1011 Palmer Plaza Lane, Suite 100" Charlotte NC 28211-1185 Mecklenburg (704)295-1108 "Collaborative Hope, LLC" 956955 MHL-014-038 "Com-Serv, Inc." 09-Nov-95 01-Jan-13 31-Dec-13 Type B 07-Oct-06 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Playmore Group Home P.O. Box 1080 Lenoir NC 28645 3252 Playmore Beach Road Morganton NC 28655 Caldwell (828)754-1300 "ComServ, Inc." 020121 MHL-012-085 "ComServ, Inc." 02-Aug-02 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL 126 Air Park Drive Apt. C PO Box 1080 Lenoir NC 28645 126C Air Park Drive Morganton NC 28655 Burke (828)439-8772 ComServ Inc. 921716 MHL-036-017 "ComServ, Inc." 01-Aug-87 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MR/DD DAY Creative Opportunities PO Box 1080 Lenoir NC 28645 1908 Dallas-Cherryville Highway Dallas NC 28034 Gaston (704)922-3962 "ComServ, Inc." 921718 MHL-014-025 "ComServ, Inc." 02-Mar-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Creekside Group Home P.O. Box 1080 Lenoir NC 28645 723 Hills Farm Street Lenoir NC 28645 Caldwell (828)757-9560 921950 MHL-012-043 "ComServ, Inc." 01-Dec-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Hartland Group Home P.O. Box 1080 Lenoir NC 28645 2307 Hartland Road Morganton NC 28655 Burke (828)438-9543 922093 MHL-023-012 "ComServ, Inc." 25-May-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Ladell Lane Group Home PO Box 267 Shelby NC 28151 1116 Ladell Lane Shelby NC 28152 Cleveland (704)484-1737 922109 MHL-059-011 "ComServ, Inc." 01-May-91 01-Jan-13 31-Dec-13 - - - - 3 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF Laurelwood Group Home P.O. Box 1080 Lenoir NC 28645 109 Lonon Avenue Marion NC 28752 McDowell (828)659-3524 922109 MHL-059-011 "ComServ, Inc." 01-May-91 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Laurelwood Group Home P.O. Box 1080 Lenoir NC 28645 109 Lonon Avenue Marion NC 28752 McDowell (828)659-3524 924798 MHL-012-051 "ComServ, Inc." 22-Apr-94 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Chesterfield Group Home P.O. Box 1080 Lenoir NC 28645 2287 Hartland Road Morganton NC 28655 Burke (828)433-5630 "Comserv, Inc" 942259 MHL-036-043 "ComServ, Inc." 01-Sep-92 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Mumbulo Home PO Box 1080 Lenoir NC 28645 227 George Moore Trail Stanley NC 28164 Gaston (704)278-1290 ComServ Inc. 952149 MHL-002-005 "ComServ, Inc." 20-Sep-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB2 RESIDENTL ICF Little River Group Home P.O. Box 1080 Lenoir NC 28645-1080 4161 NC Hwy 127 Taylorsville NC 28681 Alexander (828)632-0263 955559 MHL-002-010 "ComServ, Inc." 17-Mar-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL ICF Ellendale Group Home P.O. Box 1080 Lenoir NC 28645 4165 NC Highway 127 Taylorsville NC 28681 Alexander (828)632-7615 960194 MHL-014-039 "ComServ, Inc." 01-Mar-96 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Lower Creek Group Home P.O. Box 1080 Lenoir NC 28645 3256 Playmore Beach Road Morganton NC 28655 Caldwell (828)758-2019 "Com Serv, Inc" 090063 MHL-023-048 "ComServ, Inc." 29-Dec-98 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Charles Road A PO Box 1080 Lenoir NC 28645 829-1 Charles Road A Shelby NC 28152 Cleveland (704)482-4669 "ComServ, Inc." 080462 MHL-023-145 "ComServ, Inc." 03-Nov-08 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Circleview AFL PO Box 1080 Lenoir NC 28645 319 Circleview Drive Shelby NC 28150 Cleveland (704)865-8819 "ComServ, Inc." 090064 MHL-023-154 "ComServ, Inc." 19-Aug-09 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Charles Road B PO Box 267 Shelby NC 28151 829-1 Charles Road B Shelby NC 28152 Cleveland (704)482-2114 "ComServ, Inc." 090065 MHL-023-155 "ComServ, Inc." 19-Aug-09 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Charles Road C PO Box 267 Shelby NC 28152 829-1 Charles Road C Shelby NC 28151 Cleveland (704)422-7151 "ComServ, Inc." 100717 MHL-014-027 "ComServ, Inc." 19-Sep-05 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Gateway Opportunities PO Box 1080 Lenoir NC 28645 2419 Norwood Street SW Lenoir NC 28645 Caldwell (828)728-9635 "ComServ, Inc." 100717 MHL-014-027 "ComServ, Inc." 19-Sep-05 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Gateway Opportunities PO Box 1080 Lenoir NC 28645 2419 Norwood Street SW Lenoir NC 28645 Caldwell (828)728-9635 "ComServ, Inc." 020767 MHL-034-172 "Community Assisted Residential Environment, Inc." 28-May-03 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Community Assisted Residential Environment II "353 Jonestown Road, Box 285" Winston-Salem NC 27104 2530 Merrimont Drive Winston-Salem NC 27107 Forsyth (336)659-4839 100345 MHL-026-900 "Community Based Developmental Services, Inc." 14-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Community Based Developmental Services 3274 Rosehill Road Fayetteville NC 28301 3274 Rosehill Road Fayetteville NC 28301 Cumberland (910)488-5820 021243 MHL-051-128 "Community Based Learning Alternatives Center, Inc." 14-Nov-02 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "Community Based Learning Alternatives Center, Inc." 1302 West Market Street Smithfield NC 27577 1302 West Market Street Smithfield NC 27577 Johnston (919)989-1786 "C-BLAC, Inc." 021243 MHL-051-128 "Community Based Learning Alternatives Center, Inc." 14-Nov-02 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Community Based Learning Alternatives Center, Inc." 1302 West Market Street Smithfield NC 27577 1302 West Market Street Smithfield NC 27577 Johnston (919)989-1786 "C-BLAC, Inc." 021243 MHL-051-128 "Community Based Learning Alternatives Center, Inc." 14-Nov-02 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Community Based Learning Alternatives Center, Inc." 1302 West Market Street Smithfield NC 27577 1302 West Market Street Smithfield NC 27577 Johnston (919)989-1786 "C-BLAC, Inc." 961000 MHL-051-161 "Community Based Learning Alternatives Center, Inc." 05-Jun-07 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Possibilities Unlimited Peer Support Center 1304 West Market Street Smithfield NC 27577 1304 West Market Street Smithfield NC 27577 Johnston (919)989-1786 030577 MHL-060-441 "Community Choices, Inc." 11-Mar-98 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Community Choices-CASCADE Services 5800 Executive Ctr. Drive Suite 101 Charlotte NC 28212 5800 Executive Ctr. Drive Suite 100 Charlotte NC 28212 Mecklenburg (704)336-4844 "Community Choices, Inc." 030577 MHL-060-441 "Community Choices, Inc." 11-Mar-98 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY Community Choices-CASCADE Services 5800 Executive Ctr. Drive Suite 101 Charlotte NC 28212 5800 Executive Ctr. Drive Suite 100 Charlotte NC 28212 Mecklenburg (704)336-4844 "Community Choices, Inc." 030577 MHL-060-441 "Community Choices, Inc." 11-Mar-98 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Community Choices-CASCADE Services 5800 Executive Ctr. Drive Suite 101 Charlotte NC 28212 5800 Executive Ctr. Drive Suite 100 Charlotte NC 28212 Mecklenburg (704)336-4844 "Community Choices, Inc." 051103 MHL-034-217 "Community Choices, Inc." 04-May-07 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Community Choices-Wish 5800 Executive Center Drive Charlotte NC 28212 725 Highland Avenue Winston-Salem NC 27101 Forsyth (336)607-8513 Misty Faulk 051103 MHL-034-217 "Community Choices, Inc." 04-May-07 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Community Choices-Wish 5800 Executive Center Drive Charlotte NC 28212 725 Highland Avenue Winston-Salem NC 27101 Forsyth (336)607-8513 Misty Faulk 050120 MHL-060-982 "Community Choices, Inc." 07-Apr-06 01-Jan-13 31-Dec-13 - - - - 50 27G.4100 Therapeutic Homes for Individuals With SA Disorders And A SAS RESIDENTL CASCADE Services 5800 Executive Ctr. Dr. Suite 101 Charlotte NC 28212 "7108 Wallace Road, Apt. 7000A" Charlotte NC 28212 Mecklenburg (704)336-4844 Community Choices Inc. CASCADE Svcs 080463 MHL-032-391 "Community Choices, Inc." 10-Jan-07 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Community Choices, Inc. - Cascade @ Durham" "5800 Executive Center Dr., Ste. 101" Charlotte NC 28212 "1800 Martin Luther King Pkwy., Ste. 102" Durham NC 27707 Durham (919)490-6900 "Community Choices, Inc." 080465 MHL-032-390 "Community Choices, Inc." 11-Jan-07 01-Jan-13 31-Dec-13 Type A 07-Mar-11 - - 14 27G.4100 Therapeutic Homes for Individuals With SA Disorders And C&A SAS RESIDENTL "Community Choices, Inc. - Cascade @ Durham" "5800 Executive Center Dr., Ste. 101" Charlotte NC 28212 "2920 Chapel Hill Road, Apt. 36-A" Durham NC 27707 Durham (919)620-1925 "Community Choices, Inc." 061379 MHL-059-056 "Community Companion Home Care, LLC" 27-Feb-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Lunsford Home 3288 Harmony Grove Rd. Nebo NC 28761 207 Lake View Drive Marion NC 28752 McDowell (828)738-3192 Community Companion Home Care 090998 MHL-059-060 "Community Companion Home Care, LLC" 01-Jul-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Burleson Home 3288 Harmony Grove Road Nebo NC 28761 29 Pleasant Hill Road Marion NC 28752 McDowell (828)527-0983 "Community Companion Home Care, LLC" 120276 MHL-059-061 "Community Companion Home Care, LLC" 26-Jul-12 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Hammond Home 3288 Harmony Grove Road Nebo NC 28761 293 Bearcliff Drive Nebo NC 28761 McDowell (828)803-7799 "Community Companion Home Care, LLC" 090017 MHL-041-1024 "Community Connextions, Inc." 21-Jun-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Community Connextions, Inc." P.O. Box 1026 High Point NC 27261 808 West English Road High Point NC 27262 Guilford (336)882-6549 110400 MHL-041-896 "Community Connextions, Inc." 07-Feb-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Community Connextions PO Box 1026 High Point NC 27261 "808 West English Road, Suite 102" High Point NC 27262 Guilford (336)882-6549 "Community Connextions, Inc." 100759 MHL-073-059 "Community Counseling Services, PC" 16-Nov-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Community Counseling Services, PC" 515 Fire Tower Drive Rougemont NC 27572 "105 North Main Street, Suite #102 & 103" Roxboro NC 27573 Person (336)330-0702 100401 MHL-047-130 "Community Helps Network, LLC" 21-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Community Helps Network, LLC" PO Box 203 Raeford NC 28376-6397 112 East Elwood Avenue Raeford NC 28376-6397 Hoke (910)848-1924 Wesley Baldwin 100401 MHL-047-130 "Community Helps Network, LLC" 21-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Community Helps Network, LLC" PO Box 203 Raeford NC 28376-6397 112 East Elwood Avenue Raeford NC 28376-6397 Hoke (910)848-1924 Wesley Baldwin 110541 MHL-083-050 "Community Helps Network, LLC" 08-Nov-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Community Helps Network Laurinburg PO Box 203 Raeford NC 28376 1531 Atkinson Street Laurinburg NC 28352 Scotland (910)506-2009 "Community Helps Network, LLC" 921826 MHL-024-013 "Community Innovations, Inc." 01-Jun-90 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Jean Street 801 Wilson Street Whiteville NC 28472 102 Jean Street Chadbourn NC 28431 Columbus (910)654-1636 "Community Innovations, Inc." 921889 MHL-041-070 "Community Innovations, Inc." 01-Mar-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Friendway Group Home 609 #B Industrial Ave Greensboro NC 27406 202 Friendway Road Greensboro NC 27409 Guilford (336)852-2636 Community Innovations 922313 MHL-009-009 "Community Innovations, Inc." 10-Apr-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Northridge Residential 801 Wilson Street Whiteville NC 28472 68 Mitchell Ford Road Clarkton NC 28433 Bladen (910)647-2801 "Community Innovations, Inc." 922474 MHL-024-021 "Community Innovations, Inc." 01-Nov-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL ICF Riverside Residential 801 Wilson Street Whiteville NC 28472 353 Elm Street Fairbluff NC 28439 Columbus (910)649-6460 "Community Innovations, Inc." 922626 MHL-024-018 "Community Innovations, Inc." 23-May-91 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Southwood 801 Wilson Street Whiteville NC 28472 100 Waccamaw Drive Tabor City NC 28463 Columbus (910)653-5823 "Community Innovations, Inc." 922664 MHL-024-019 "Community Innovations, Inc." 10-Apr-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Strawberry House 801 Wilson Street Whiteville NC 28472 303 North Howard Street Chadbourn NC 28431 Columbus (910)654-5355 "Community Innovations, Inc." 922774 MHL-041-017 "Community Innovations, Inc." 01-Nov-82 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Westridge 609 #B Industrial Avenue Greensboro NC 27406 908 Westridge Road Greensboro NC 27410 Guilford (336)297-0890 922868 MHL-078-049 "Community Innovations, Inc." 01-Jun-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Westside Residential 801 Wilson St Whiteville NC 28472 467 Creek Road Orrum NC 28369 Robeson (910)618-0777 Westside Resd'l 922874 MHL-024-011 "Community Innovations, Inc." 16-May-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Whiteville Group Home 801 Wilson Street Whiteville NC 28472 168 Sweet Farm Road Whiteville NC 28472 Columbus (910)642-5670 "Community Innovations, Inc." 924983 MHL-076-022 "Community Innovations, Inc." 07-Jul-94 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Brookwood 609-B Industrial Avenue Greensboro NC 27406 313 East Brookwood Avenue Liberty NC 27298 Randolph (336)622-3003 "Community Innovations, Inc." 944506 MHL-046-006 "Community Innovations, Inc." 16-Feb-94 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Roanoke Place 704 Carolina Avenue North Ahoskie NC 27910 704 Carolina Avenue North Ahoskie NC 27910 Hertford (252)209-0111 Roanoke Place 944710 MHL-067-019 "Community Innovations, Inc." 01-Aug-93 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Countryview Residential 1011A Onsville Drive Jacksonville NC 28546 359 Firetower Road Richlands NC 28574 Onslow (910)455-5863 Community Innovations Inc. 944789 MHL-024-022 "Community Innovations, Inc." 21-Mar-94 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Bill Parker Day Activity Center 801 Wilson Street Whiteville NC 28472 119 East Smith Street Whiteville NC 28472 Columbus (910)640-3375 "Community Innovations, Inc." 944820 MHL-053-027 "Community Innovations, Inc." 17-Jun-94 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Pine Ridge Group Home 739 Arthur Maddox Road Sanford NC 27330 739 Arthur Maddox Road Sanford NC 27330 Lee (919)774-9747 Pine Ridge Grp Hm 944999 MHL-076-023 "Community Innovations, Inc." 22-Jul-94 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Timberlea Group Home 609-B Industrial Avenue Greensboro NC 27406 5691 Mack Lineberry Road Climax NC 27233 Randolph (336)685-4955 Community Innovations 945333 MHL-078-069 "Community Innovations, Inc." 18-Nov-94 01-Jan-13 31-Dec-13 Type A 11-Aug-05 - - 6 27G.5600C Supervised Living DD Adult A NONAMB2 RESIDENTL ICF Corbel Residential 801 Wilson St Whiteville NC 28472 483 Creek Road Orrum NC 28369 Robeson (910)738-1967 945339 MHL-092-131 "Community Innovations, Inc." 23-Jul-93 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Trotters Bluff 908 Avent Ferry Road Holly Springs NC 27540 912 Avent Ferry Road Holly Springs NC 27540 Wake (919)557-6337 955632 MHL-092-126 "Community Innovations, Inc." 01-Jun-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Avent Ferry Home 908 Avent Ferry Road Holly Springs NC 27540 904 Avent Ferry Road Holly Springs NC 27540 Wake (919)557-6336 Avent Ferry Home 970016 MHL-024-029 "Community Innovations, Inc." 23-Dec-96 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Southeastern Community Support Center 801 Wilson Street Whiteville NC 28472 801 Wilson Street Whiteville NC 28472 Columbus (910)642-5697 "Community Innovations, Inc." 970465 MHL-024-035 "Community Innovations, Inc." 28-Apr-97 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL David and David House 801 Wilson Street Whiteville NC 28472 219 South Madison Street Whiteville NC 28472 Columbus (910)641-0842 "Community Innovations, Inc." 090005 MHL-024-036 "Community Innovations, Inc." 28-Apr-97 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Deerfield Residential 801 Wilson Street Whiteville NC 28472 304 West Columbus Street Whiteville NC 28472 Columbus (910)642-5697 "Community Innovations, Inc." 080280 MHL-078-095 "Community Innovations, Inc." 19-Dec-97 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cedar Street Residential 115 Christian Drive Lumberton NC 28358 115 Christian Drive Lumberton NC 28358 Robeson (910)671-9962 "Community Innovations, Inc." 980058 MHL-041-226 "Community Innovations, Inc." 12-Dec-97 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Greensboro Day Program 609-B Industrial Avenue Greensboro NC 27406 609-B Industrial Avenue Greensboro NC 27406 Guilford (336)370-4177 980178 MHL-024-041 "Community Innovations, Inc." 16-Feb-98 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Fair Bluff Residential 801 Wilson Street Whiteville NC 28472 2373 Coleman Cemetery Road Fair Bluff NC 28439 Columbus (910)649-6464 "Community Innovations, Inc." 981061 MHL-024-043 "Community Innovations, Inc." 18-Nov-98 01-Jan-13 31-Dec-13 Type B 26-Oct-12 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL GP Road 2838 Georgia Pacific Road Whiteville NC 28472 2838 Georgia Pacific Road Chadbourn NC 28431 Columbus (910)654-6996 GP Road 990162 MHL-067-084 "Community Innovations, Inc." 08-Jun-98 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Countryview Day Program 1011-A Onsville Drive Jacksonville NC 28546 1009-B Onsville Drive Jacksonville NC 28546 Onslow (910)455-2230 990162 MHL-067-084 "Community Innovations, Inc." 08-Jun-98 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Countryview Day Program 1011-A Onsville Drive Jacksonville NC 28546 1009-B Onsville Drive Jacksonville NC 28546 Onslow (910)455-2230 041614 MHL-024-064 "Community Innovations, Inc." 05-Jul-05 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Honey Hill Residential 801 Wilson Street Whiteville NC 28472 24 Lakeland Circle Hallsboro NC 28442 Columbus (910)640-2776 "Community Innovations, Inc." 100102 MHL-024-084 "Community Innovations, Inc." 05-Mar-10 01-May-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MD DAY Columbus Day Program 801 Wilson Street Whiteville NC 28472 809 Wilson Street Whiteville NC 28472 Columbus (910)642-5697 "Community Innovations, Inc." 100102 MHL-024-084 "Community Innovations, Inc." 05-Mar-10 01-May-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Columbus Day Program 801 Wilson Street Whiteville NC 28472 809 Wilson Street Whiteville NC 28472 Columbus (910)642-5697 "Community Innovations, Inc." 120587 MHL-024-039 "Community Innovations, Inc." 19-Dec-97 03-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lee Street Residential 801 Wilson Street Whiteville NC 28472 341 Honey Hill Road Hallsboro NC 28442 Columbus (910)642-5697 "Community Innovations, Inc." 100745 MHL-078-270 "Community Innovations, Inc." 20-Sep-10 11-Feb-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Community Innovations PSR - Robeson 2003 Godwin Avenue Lumberton NC 28358 "2003 Godwin Avenue, Suite A" Lumberton NC 28358 Robeson (910)737-6440 "Community Innovations, Inc." 001242 MHL-013-069 "Community Living Concepts of North Carolina, Inc." 18-Aug-00 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Oakland Home 211 South Center Street Ste 403 Statesville NC 28677 451 Faith Drive Concord NC 28025 Cabarrus (704)785-8568 080656 MHL-013-075 "Community Living Concepts of North Carolina, Inc." 13-Jun-01 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Moose Road "211 South Center Street, Suite 403" Statesville NC 28677 2102 Moose Road Kannapolis NC 28083 Cabarrus (704)838-0016 "Community Living Concepts-NC, Inc." 944927 MHL-036-059 "Community Living Concepts of North Carolina, Inc." 04-Oct-93 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL MacGregor II "211 South Center St., Suite 403" Statesville NC 28677 204 MacGregor Road Gastonia NC 28056 Gaston (704)823-0098 Community Living Concepts Inc. 945307 MHL-049-035 "Community Living Concepts of North Carolina, Inc." 14-Nov-94 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Stony Point Home "211 South Center Street, Suite 403" Statesville NC 28677 129 Plank Barn Road Stony Point NC 28678 Iredell (704)585-9910 "Community Living Concepts, Inc., NC" 956219 MHL-080-033 "Community Living Concepts of North Carolina, Inc." 01-Sep-95 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Stokes Ferry Road Home "211 South Center Street, Suite 403" Statesville NC 28677 2602 Stokes Ferry Road Salisbury NC 28146 Rowan (704)636-2040 001207 MHL-036-089 "Community Living Concepts of North Carolina, Inc." 16-Nov-95 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Ohio Avenue I 211 South Center Street Suite 403 Statesville NC 28677 222 West Ohio Avenue Bessemer City NC 28016 Gaston (704)629-0107 "Community Living Concepts-NC, Inc." 960093 MHL-013-035 "Community Living Concepts of North Carolina, Inc." 01-Feb-96 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lakewood Home 211 South Center Street. Statesville NC 28677 354 Spring Street Concord NC 28025 Cabarrus (704)786-1539 991026 MHL-036-152 "Community Living Concepts of North Carolina, Inc." 28-Oct-99 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL 14th Street I "211 South Center Street, Suite 403" Statesville NC 28677 404 North Fourteenth Street Bessemer City NC 28016 Gaston (704)629-4244 "Community Living Concepts-NC, Inc." 021154 MHL-013-103 "Community Living Concepts of North Carolina, Inc." 21-Feb-03 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Eastwood Home "211 South Center Street, Suite 403" Statesville NC 28677 325 Briarcliff Drive Kannapolis NC 28035 Cabarrus (704)932-2519 "Community Living Concepts-NC, Inc." 080586 MHL-036-265 "Community Living Concepts of North Carolina, Inc." 27-Jan-09 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Ohio Avenue II 211 South Center Street Statesville NC 28677 220 West Ohio Avenue Bessemer City NC 28016 Gaston (704)629-3933 "Community Living Concepts of NC, Inc." 080807 MHL-013-149 "Community Living Concepts of North Carolina, Inc." 07-Jul-09 01-Jan-13 31-Dec-13 Type A 18-Nov-11 - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cedarwood B 211 South Central Street Statesville NC 28677 829 Murphy Street Kannapolis NC 28081 Cabarrus (704)938-3874 "Community Living Concepts of NC, Inc." 100343 MHL-024-087 "Community Support Agency, LLC" 05-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation NONE MI DAY Community Support Agency LLC PO Box 465 Delco NC 28436 25485 Andrew Jackson Hwy Delco NC 28436 Columbus (910)665-0697 100343 MHL-024-087 "Community Support Agency, LLC" 05-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Community Support Agency LLC PO Box 465 Delco NC 28436 25485 Andrew Jackson Hwy Delco NC 28436 Columbus (910)665-0697 100289 MHL-024-088 "Community Support Agency, LLC" 05-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Community Support Agency, LLC" PO Box 465 Delco NC 28436 44 Dream Avenue Delco NC 28436 Columbus (910)655-0698 090299 MHL-024-093 "Community Support Agency, LLC" 26-Aug-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY CSA Columbus Day Treatment PO Box 465 Delco NC 28436-8700 "801 West Smith Street, Rooms 145, 146, 147 & 148" Chadbourn NC 28431 Columbus (910)654-4300 Community Support Agency LLC 100079 MHL-024-097 "Community Support Agency, LLC" 01-Nov-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Community Support Agency, LLC" PO Box 465 Delco NC 28436 1449 Joe Brown Highway North Chadbourn NC 28431 Columbus (910)654-1968 120316 MHL-065-218 "Community Support Professionals, LLC" 08-Sep-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Community Support Professionals, LLC" "1606 Wellington Avenue, Unit C" Wilmington NC 28401 "1606 Wellington Avenue, Unit A" Wilmington NC 28401 New Hanover (910)799-4505 "Community Support Professionals, LLC" 120316 MHL-065-218 "Community Support Professionals, LLC" 08-Sep-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization C&ADOL&A MI DAY "Community Support Professionals, LLC" "1606 Wellington Avenue, Unit C" Wilmington NC 28401 "1606 Wellington Avenue, Unit A" Wilmington NC 28401 New Hanover (910)799-4505 "Community Support Professionals, LLC" 120107 MHL-041-1049 Community Support Service L.L.C. 26-Jun-12 01-Jan-13 31-Dec-13 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C MI RESIDENTL Phillips Home 1 Terrace Way Greensboro NC 27403 5706 Cranberry Court Greensboro NC 27405 Guilford (336)638-8780 "Community Support Service, LLC" 990810 MHL-041-546 "Community Support Service, L.L.C." 06-Aug-99 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Manning Home 1Terrace Way Greensboro NC 27403-3667 1113 Tipton Street High Point NC 27262 Guilford (336)885-7161 "Community Support Service, L.L.C." 050853 MHL-041-680 "Community Support Service, L.L.C." 27-May-03 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL The McDowell Home 1Terrace Way Greensboro NC 27403 6906 Whirlaway Drive Whitsett NC 27377 Guilford (336)449-6304 Community Support Service 990251 MHL-041-527 "Community Support Service, LLC" 10-Mar-99 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Peguese Home 1 Terrace Way Greensboro NC 27403 1712 Candlewood Court High Point NC 27265 Guilford (336)885-4380 Community Support Service 020557 MHL-041-661 "Community Support Services, Inc." 29-Jan-03 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Caudill Home 1 Terrace Way Greensboro NC 27403 527 Dogwood Circle High Point NC 27262 Guilford (336)454-0856 Community Support Svc. 021272 MHL-041-695 "Community Support Services, Inc." 10-Oct-03 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C NONAMB1 RESIDENTL Lanier Home 1 Terrace Way Greensboro NC 27403 3517 Rolling Road High Point NC 27265 Guilford (336)869-4220 Community Support Svc LLC 932124 MHL-060-857 "Community Treatment Alternatives, Inc." 08-Aug-02 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Community Treatment Alternatives I 5410 Frederick Street Indian Trail NC 28079 3517 Crosswinds Road Charlotte NC 28227 Mecklenburg (704)532-5883 "Community Treatment Alternatives, Inc." 922029 MHL-091-003 "Community Workforce Solutions, Inc." 01-Mar-85 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Community Workforce Solutions, Inc." 3011 Falstaff Road Raleigh NC 27610 602 South Garnett Street Henderson NC 27536 Vance (252)492-9555 970469 MHL-092-273 "Community Workforce Solutions, Inc." 28-Apr-97 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Community Workforce Solutions, Inc." 3011 Falstaff Road Raleigh NC 27610 3011 Falstaff Road Raleigh NC 27610 Wake (919)231-3325 970469 MHL-092-273 "Community Workforce Solutions, Inc." 28-Apr-97 01-Jan-13 31-Dec-13 - - - - 0 27G.5500 Sheltered Workshops ADOL&A MD DAY "Community Workforce Solutions, Inc." 3011 Falstaff Road Raleigh NC 27610 3011 Falstaff Road Raleigh NC 27610 Wake (919)231-3325 101051 MHL-092-792 "Community Workforce Solutions, Inc." 25-Oct-10 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Gateway Clubhouse 3011 Falstaff Road Raleigh NC 27610 1805 Garner Station Boulevard Raleigh NC 27603 Wake (919)662-0940 "Community Workforce Solutions, Inc." 111034 MHL-078-250 Companion Home Care 04-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Companion Home Care-Psychosocial Rehabilitation 4820 Fayetteville Rd. Lumberton NC 28358 "3317 Hwy. 211 W., Suite 2" Lumberton NC 28358 Robeson (910)608-3511 Companion Home Care 120008 MHL-078-157 "Companion Home Care - Unimed, Inc." 12-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Companion Home Care-Day Supports 4820 Fayetteville Road Lumberton NC 28358 "3317 Hwy 211 West, Suite 1" Lumberton NC 28358 Robeson (910)608-3511 "Companion Home Care-Unimed, Inc." 100252 MHL-077-070 "Compassionate Couseling Services, LLC" 24-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Compassionate Counseling Services, LLC" 224 South Randoplh Street Rockingham NC 28379 224 South Randolph Street Rockingham NC 28379 Richmond (910)817-9927 100252 MHL-077-070 "Compassionate Couseling Services, LLC" 24-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Compassionate Counseling Services, LLC" 224 South Randoplh Street Rockingham NC 28379 224 South Randolph Street Rockingham NC 28379 Richmond (910)817-9927 100252 MHL-077-070 "Compassionate Couseling Services, LLC" 24-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Compassionate Counseling Services, LLC" 224 South Randoplh Street Rockingham NC 28379 224 South Randolph Street Rockingham NC 28379 Richmond (910)817-9927 120355 MHL-016-043 "Complete Solutions For Life, LLC" 27-Jul-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Complete Solutions For Life 4119-D Arendell Street Morehead City NC 28557 4119-D Arendell Street Morehead City NC 28557 Carteret (252)222-0012 041069 MHL-032-249 "Comprehensive Community Care, Inc." 16-Jan-01 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hickory Glen Home 3308 Durham Chapel Hill Blvd. Durham NC 27707 104 Hickory Glen Lane Durham NC 27703 Durham (919)957-0870 "Comprehensive Community Care, Inc." 030916 MHL-060-927 "Comprehensive Community Care, Inc." 02-Dec-03 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Autumn End P.O. 16725 Charlotte NC 28297 5430 Autumn End Circle Charlotte NC 28212 Mecklenburg (704)569-4713 Comprehensive Comm. Care 110951 MHL-032-567 "Comprehensive Community Care, Inc." 04-Nov-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Comprehensive Community Care, Inc." 3308 Durham-Chapel Hill Blvd.Bldg.F Durham NC 27707 "3308 Durham-Chapel Hill Blvd., Bldg.F" Durham NC 27707 Durham (919)489-4202 "Comprehensive Community Care, Inc." 070448 MHL-058-024 "Comprehensive Interventions, Inc." 26-Jun-07 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Comprehensive Interventions Inc. P.O. Box 1216 Williamston NC 27892 607 Washington Street Williamston NC 27892 Martin (252)792-8035 Desiree Rodgers 080554 MHL-041-893 "Comunity Support Service, LLC" 14-Jul-05 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL The Anderson Home 1 Terrace Way Greensboro NC 27403 3942 Huttons Lake Court High Point NC 27265 Guilford (336)431-2367 060488 MHL-031-058 "Connolly Counseling, Inc." 20-Sep-06 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program NONE SAS DAY Connolly Counseling Inc. 1 PO Box 55 Keanansville NC 28349 104 North Main Street Keansville NC 28349 Duplin (910)260-0417 060490 MHL-082-063 "Connolly Counseling, Inc." 20-Sep-06 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program NONE SAS DAY Connolly Counseling Inc. 2 PO Box 55 Kenansville NC 28349 109 Fayetteville Clinton NC 28328 Sampson (910)260-0417 090145 MHL-041-970 "Continuum Care Services, Inc." 10-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Continuum Care Services PO Box 6331 Concord NC 28027 406 South Edwardia Drive Greensboro NC 27265 Guilford (336)854-2560 "Timothy Davis, Director" 100762 MHL-078-263 "Continuum Care Services, Inc." 18-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY New Direction Day Treatment PO Box 6331 Concord NC 28027 Three Hunts Drive Suite 42 Pembroke NC 28372 Robeson (910)522-1463 Continuum Care Services 100786 MHL-043-081 "Continuum Care Services, Inc." 23-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Continuum Care Services, Inc." PO Box 6331 Concord NC 28027-1523 45 Comm Park Lane Angier NC 27501-5490 Harnett (919)331-2013 110992 MHL-092-828 "Continuum Care Services, Inc." 16-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation ADOL&A MI DAY "Continuum Care Services, Inc." PO Box 6331 Concord NC 28027 "3117 Poplarwood Court, Suites 204 & 302" Raleigh NC 27604 Wake (919)829-5350 "Continuum Care Services, Inc." 110992 MHL-092-828 "Continuum Care Services, Inc." 16-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Continuum Care Services, Inc." PO Box 6331 Concord NC 28027 "3117 Poplarwood Court, Suites 204 & 302" Raleigh NC 27604 Wake (919)829-5350 "Continuum Care Services, Inc." 111002 MHL-041-1036 "Continuum Care Services, Inc." 16-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Continuum Care Services, Inc." PO Box 6331 Concord NC 28027 "3200 Northline Avenue, Suite 142" Greensboro NC 27408 Guilford (336)854-2560 "Continuum Care Services, Inc." 111002 MHL-041-1036 "Continuum Care Services, Inc." 16-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Continuum Care Services, Inc." PO Box 6331 Concord NC 28027 "3200 Northline Avenue, Suite 142" Greensboro NC 27408 Guilford (336)854-2560 "Continuum Care Services, Inc." 110933 MHL-078-293 "Continuum Care Services, Inc." 23-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Continuum Care Services, Inc." PO Box 6331 Concord NC 28027 "Three Hunts Drive, Suite 86" Pembroke NC 28372 Robeson (910)522-0408 080763 MHL-092-858 "Continuum Care Services, Inc." 12-Dec-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Continuum Care Services, Inc." PO Box 6331 Concord NC 28025 2825 South Wilmington Street Raleigh NC 27603 Wake (919)833-0104 010242 MHL-075-013 "CooperRiis, Inc." 15-Jun-03 01-Jan-13 31-Dec-13 Type A 08-Jun-09 - - 36 27G.5600A Supervised Living MI Adult A MI RESIDENTL CooperRiis 101 Healing Farm Lane Mill Spring NC 28756 101 Healing Farm Lane Mill Spring NC 28756 Polk (828)894-5557 Cooper Riis 100115 MHL-011-316 "CooperRiis, Inc." 15-Jan-10 01-Jan-13 31-Dec-13 - - - - 24 27G.5600A Supervised Living MI Adult A MI RESIDENTL Zillicoa 85 Zillicoa Street Asheville NC 28801 85 Zillicoa Street Asheville NC 28801 Buncombe (828)258-8887 CooperRiis at Zillicoa 090664 MHL-040-045 "Corine's Care Management, Inc." 23-Oct-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Corine's Care Management, Inc." 55 Patrick Drive Snow Hill NC 28580 369 B/C Highway 13 South Snow Hill NC 28580 Greene (252)747-5705 "Corine's Care Management, Inc." 090664 MHL-040-045 "Corine's Care Management, Inc." 23-Oct-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization C&ADOL&A MI DAY "Corine's Care Management, Inc." 55 Patrick Drive Snow Hill NC 28580 369 B/C Highway 13 South Snow Hill NC 28580 Greene (252)747-5705 "Corine's Care Management, Inc." 090664 MHL-040-045 "Corine's Care Management, Inc." 23-Oct-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Corine's Care Management, Inc." 55 Patrick Drive Snow Hill NC 28580 369 B/C Highway 13 South Snow Hill NC 28580 Greene (252)747-5705 "Corine's Care Management, Inc." 030728 MHL-058-038 "Cornerstone Community Support Services, Inc." 04-Sep-09 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "Cornerstone Community Support Services, Inc." P.O. Box 160 Bailey NC 27807-0160 412 Washington Street Williamston NC 27892 Martin (252)809-4318 Cheryl Mercer 030728 MHL-058-038 "Cornerstone Community Support Services, Inc." 04-Sep-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Cornerstone Community Support Services, Inc." P.O. Box 160 Bailey NC 27807-0160 412 Washington Street Williamston NC 27892 Martin (252)809-4318 Cheryl Mercer 030728 MHL-058-038 "Cornerstone Community Support Services, Inc." 04-Sep-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Cornerstone Community Support Services, Inc." P.O. Box 160 Bailey NC 27807-0160 412 Washington Street Williamston NC 27892 Martin (252)809-4318 Cheryl Mercer 030728 MHL-058-038 "Cornerstone Community Support Services, Inc." 04-Sep-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Cornerstone Community Support Services, Inc." P.O. Box 160 Bailey NC 27807-0160 412 Washington Street Williamston NC 27892 Martin (252)809-4318 Cheryl Mercer 100658 MHL-051-183 "Cornerstone Community Support Services, Inc." 23-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Cornerstone Community Support Services, Inc." PO Box 160 Bailey NC 27807 831 South Brightleaf Boulevard Smithfield NC 27577 Johnston (919)209-0312 "Cornerstone Community Support Services, Inc." 100658 MHL-051-183 "Cornerstone Community Support Services, Inc." 23-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Cornerstone Community Support Services, Inc." PO Box 160 Bailey NC 27807 831 South Brightleaf Boulevard Smithfield NC 27577 Johnston (919)209-0312 "Cornerstone Community Support Services, Inc." 100658 MHL-051-183 "Cornerstone Community Support Services, Inc." 23-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Cornerstone Community Support Services, Inc." PO Box 160 Bailey NC 27807 831 South Brightleaf Boulevard Smithfield NC 27577 Johnston (919)209-0312 "Cornerstone Community Support Services, Inc." 100658 MHL-051-183 "Cornerstone Community Support Services, Inc." 23-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY "Cornerstone Community Support Services, Inc." PO Box 160 Bailey NC 27807 831 South Brightleaf Boulevard Smithfield NC 27577 Johnston (919)209-0312 "Cornerstone Community Support Services, Inc." 080375 MHL-078-260 "Cornerstone Treatment Facility Program, Inc." 21-May-10 01-Jan-13 31-Dec-13 Type A 29-Mar-12 - - 12 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL New Haven Treatment Center 1125 Pony Drive Hope Mills NC 28348 703-B West 3rd Avenue Red Springs NC 28377 Robeson (910)843-2097 061299 MHL-078-272 "Cornerstone Treatment Facility Program, Inc." 15-Oct-10 01-Jan-13 31-Dec-13 Type B 17-Aug-12 - - 12 27G.1900 PRTF - Psychiatric Residential Treatment Facility C MI RESIDENTL Crossroads Treatment Center 1125 Pony Drive Hope Mills NC 28348 703 A West Third Avenue Red Springs NC 28377 Robeson (910)227-2136 "Cornerstone Treatment Facility Program, Inc." 050562 MHL-026-916 "Cornerstone Treatment Facility Program, Inc." 07-Mar-11 01-Jan-13 31-Dec-13 Type B 26-Sep-11 - - 12 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Willowbrook Treatment Center 1125 Pony Drive Hope Mills NC 28348 4433 Marracco Drive Hope Mills NC 28348 Cumberland (910)339-7560 "Cornerstone Treatment Facility Program, Inc." 080669 MHL-063-100 "Cornerstone Treatment Facility Program, Inc." 01-Nov-11 01-Jan-13 31-Dec-13 - - - - 12 27G.1900 PRTF - Psychiatric Residential Treatment Facility ADOL MI RESIDENTL Jackson Springs Treatment Center 1125 Pony Drive Hope Mills NC 28348 778 Hoffman Road Jackson Springs NC 27281 Moore (910)673-0833 "Cornerstone Treatment Facility Program, Inc." 070852 MHL-004-016 "Cornerstone Treatment Facility, Inc." 29-Oct-08 01-Jan-13 31-Dec-13 - - - - 12 27G.1900 PRTF - Psychiatric Residential Treatment Facility ADOL MI RESIDENTL Cornerstone Treatment Facility 129 Wallace Road Wadesboro NC 28170 129 Wallace Road Wadesboro NC 28170 Anson (704)695-0620 Fred Surgeon 090050 MHL-047-131 "Cornerstone Treatment Facility, Inc." 21-May-10 01-Jan-13 31-Dec-13 Type A 17-Aug-12 - - 12 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Hope Gardens Treatment Center 1892 Turnpike Road Raeford NC 28376-8520 1958 Turnpike Road Raeford NC 28376 Hoke (910)904-7180 "Cornerstone Treatment Facility, Inc." 100431 MHL-092-777 "Cottage Health Care Services, Inc." 24-May-10 01-Jan-13 23-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Cottage Health Care Services, Inc." "3200 Wake Forest Road, Suite 200" Raleigh NC 27609 "3200 Wake Forest Road, Suite 220" Raleigh NC 27609 Wake (919)872-1441 "Cottage Health Care Services, Inc." 100431 MHL-092-777 "Cottage Health Care Services, Inc." 24-May-10 01-Jan-13 23-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Cottage Health Care Services, Inc." "3200 Wake Forest Road, Suite 200" Raleigh NC 27609 "3200 Wake Forest Road, Suite 220" Raleigh NC 27609 Wake (919)872-1441 "Cottage Health Care Services, Inc." 960153 MHL-007-032 "Country Living Guest Home, Inc." 09-Oct-02 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Country Living Guest Home 3094 Market Street Extension Washington NC 27889 3094 Market Street Extension Washington NC 27889 Beaufort (252)975-1875 980884 MHL-007-033 "Country Living Guest Home, Inc." 09-Oct-02 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Country Living Guest Home #2 3052 Market Street Extension Washington NC 27889 3052 Market Street Extension Washington NC 27889 Beaufort (252)975-0713 040303 MHL-007-043 "Country Living Guest Home, Inc." 25-Jun-04 01-Jan-13 31-Dec-13 - - - - 2 27G.5600A Supervised Living MI Adult A MI RESIDENTL Country Living Guest Home #3 3134 Market Street Extension Washington NC 27889 3134 Market Street Extension Washington NC 27889 Beaufort (252)975-3741 Country Living Guest Home Inc. 050737 MHL-007-049 "Country Living Guest Home, Inc." 08-Nov-05 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Country Living Guest Home #4 4091 Cherry Road Washington NC 27889 4091 Cherry Road Washington NC 27889 Beaufort (252)946-3761 060908 MHL-007-058 "Country Living Guest Home, Inc." 26-Oct-06 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Country Living Guest Home #5 204 Stewart Drive Washington NC 27889 204 Stewart Drive Washington NC 27889 Beaufort (252)946-0319 100270 MHL-007-076 "Country Living Guest Home, Inc." 09-Jun-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Country Living Guest Home #6 3134 Market Street Extension Washington NC 27889 252 Dan Taylor Road Washington NC 27889 Beaufort (252)946-6374 "Country Living Guest Home, Inc." 941325 MHL-007-079 "Country Living Guest Home, Inc." 08-Mar-12 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Country Living Guest Home #8 3134 Market Street Extension Washington NC 27889 618 Plant Street Washington NC 27889 Beaufort (252)940-0230 Tim Hardison 120222 MHL-007-080 "Country Living Guest Home, Inc." 03-Aug-12 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Country Living Guest Home #7 3134 Market Street Extension Washington NC 27889 207 West 11th Street Washington NC 27889 Beaufort (252)940-0533 "Country Living Guest Home, Inc." 000438 MHL-096-115 "Country Pines, Inc." 01-Jun-00 01-Jan-13 31-Dec-13 Type A 27-Feb-07 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Country Pines #2 2307 North Beston Road LaGrange NC 28551 2600 North Beston Road LaGrange NC 28551 Wayne (919)778-1244 000438 MHL-096-115 "Country Pines, Inc." 01-Jun-00 01-Jan-13 31-Dec-13 Type A 27-Feb-07 - - 1 27G.5100 Community Respite Services A MR/DD RESIDENTL Country Pines #2 2307 North Beston Road LaGrange NC 28551 2600 North Beston Road LaGrange NC 28551 Wayne (919)778-1244 000439 MHL-096-117 "Country Pines, Inc." 01-Jun-00 01-Jan-13 31-Dec-13 Type B 30-Nov-12 - - 0 27G.5100 Community Respite Services A MR/DD DAY&RESL Country Pines #1 2307 North Beston Road LaGrange NC 28551 2307 North Beston Road LaGrange NC 28551 Wayne (919)778-7669 "Country Pines, inc." 000439 MHL-096-117 "Country Pines, Inc." 01-Jun-00 01-Jan-13 31-Dec-13 Type B 30-Nov-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Country Pines #1 2307 North Beston Road LaGrange NC 28551 2307 North Beston Road LaGrange NC 28551 Wayne (919)778-7669 "Country Pines, inc." 100788 MHL-032-488 "Covenant Community Partners, LLC" 08-Jun-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Covenant Community Partners, LLC" 1803 Chapel Hill Road Durham NC 27707 1915 Chapel Hill Road Durham NC 27707 Durham (919)401-8000 000019 MHL-001-074 "Cozie's Supervised Living, Inc." 06-Jun-00 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cozie's Supervised Living 7964 County Line Road Liberty NC 27298 7964 County Line Road Liberty NC 27298 Alamance (336)622-2754 Cozie's Supervised Living 000019 MHL-001-074 "Cozie's Supervised Living, Inc." 06-Jun-00 01-Jan-13 31-Dec-13 - - - - 4 27G.5100 Community Respite Services A MD RESIDENTL Cozie's Supervised Living 7964 County Line Road Liberty NC 27298 7964 County Line Road Liberty NC 27298 Alamance (336)622-2754 Cozie's Supervised Living 990653 MHL-076-098 "Cozie's Supervised Living, Inc." 01-Sep-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cozie's Supervised Living-Asheboro PO Box 637 Liberty NC 27298 2302 Lewis Thomas Road Asheboro NC 27203 Randolph (336)318-2758 "Cozie's Supervised Living, Inc." 030522 MHL-092-669 "Crandell's Enterprises, Inc." 31-Jan-07 01-Jan-13 31-Dec-13 Type B Imposed 09-Sep-10 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Ann's Haven of Rest 4406 Old Wake Forest Rd.Ste 203 Raleigh NC 27609 1016 East Millbrook Road Raleigh NC 27609 Wake (919)981-6572 Mary Ann Crandell 120075 MHL-092-857 "Crandell's Enterprises, Inc." 09-Nov-12 01-Jan-13 31-Dec-13 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Ann's Haven of Rest II 4406 Old Wake Forest Rd. Ste. 203 Raleigh NC 27609 1919 Boaz Road Raleigh NC 27610 Wake (919)836-0158 "Crandell's Enterprises, Inc." 956889 MHL-092-861 "Crandell's Enterprises, Inc." 04-Mar-13 04-Mar-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Ann's Country Manor "4406 Old Wake Forest Rd, Ste 203" Raleigh NC 27609 105 Avery Street Garner NC 27529 Wake (919)900-8918 "Crandell's Enterprises, Inc." 070246 MHL-041-845 "Creative Custom Living, Inc." 24-Sep-07 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Creative Custom Living, Inc." PO Box 638 Pleasant Garden NC 27313 406 Memphis Street Greensboro NC 27406 Guilford (336)378-0764 "Jerry A. Allred, Sr." 020604 MHL-001-223 "Creative Directions, Inc." 01-Mar-12 01-Jan-13 31-Dec-13 Intent to Revoke 26-Oct-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Turning Point P.O. Box 1029 Burlington NC 27216 1308 Eldrado Street Burlington NC 27217 Alamance (336)226-2629 "Creative Directions, Inc." 080233 MHL-059-058 "Crossroads Recovery Center, Inc." 05-Jun-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Crossroads Recovery Center PO Box 1864 Marion NC 28752-1864 440 East Court Street Marion NC 28752-1864 McDowell (828)659-8626 080331 MHL-011-298 "Crossroads Treatment Center of Asheville, PC" 19-Sep-08 01-Jan-13 31-Dec-13 Type B 22-Nov-11 - - 0 27G.3600 Outpatient Methadone A SAS DAY "Crossroads Treatment Center of Asheville, PC" 105 N Spring Street #109 Greenville SC 29601 "6 Roberts Road, Suite 103" Asheville NC 28803 Buncombe (828)505-3086 120370 MHL-041-879 "Crossroads Treatment Center of Greensboro, P.C." 14-Oct-08 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone C&ADOL&A SAS DAY "Crossroads Treatment Center of Greensboro, P.C." 2706 North Church Street Greensboro NC 27405 2706 North Church Street Greensboro NC 27405 Guilford (336)272-9990 101190 MHL-011-330 "Crossroads Treatment Center of Weaverville, P.C." 16-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY "Crossroads Treatment Center of Weaverville, P.C." "901 Old Mars Hill Hwy., Ste. 3" Weaverville NC 28787 "901 Old Mars Hill Hwy., Ste. 3" Weaverville NC 28787 Buncombe (828)645-3687 "Crossroads Treatment Center, LLC" 120029 MHL-041-1062 "Crystal E. Nickerson, LLC" 12-Sep-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5100 Community Respite Services C&A MI RESIDENTL Choice at the Hamptons "2302 W Meodowview Rd,Ste228,BOX 24" Greensboro NC 27407 3009 Cottage Place Apt. D Greensboro NC 27455 Guilford (336)676-5971 "Crystal E. Nickerson, LLC" 922513 MHL-026-914 Cumberland Co Hsp Sys Inc. dba Cape Fear Valley Hlh Sys 21-Jan-11 01-Jan-13 31-Dec-13 - - - - 7 27G.3100 Non-hospital Medical Detoxification C&ADOL&A SAS RESIDENTL Roxie Avenue Center 1638 Owen Drive Fayetteville NC 28304 1724 Roxie Avenue Fayetteville NC 28304 Cumberland (910)484-1212 "Cumberland Co. Hospital Systems, Inc." 922513 MHL-026-914 Cumberland Co Hsp Sys Inc. dba Cape Fear Valley Hlh Sys 21-Jan-11 01-Jan-13 31-Dec-13 - - - - 9 27G.5000 Facility Crisis Svcs. for all Disability Groups C&ADOL&A MI RESIDENTL Roxie Avenue Center 1638 Owen Drive Fayetteville NC 28304 1724 Roxie Avenue Fayetteville NC 28304 Cumberland (910)484-1212 "Cumberland Co. Hospital Systems, Inc." 960400 MHL-026-821 "Cumberland County Communicare, Inc." 15-Aug-06 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Cumberland County Communicare, Inc." PO Box 87830 Fayetteville NC 28301 226 Bradford Avenue Fayetteville NC 28301 Cumberland (910)829-9017 920287 MHL-026-643 Cumberland Residential & Employment Services & Training 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL C.R.E.S.T. Group Home #5 PO Box 877 Fayetteville NC 28302 250 Prince Charles Drive Fayetteville NC 28311 Cumberland (910)630-2331 "C.R.E.S.T., Inc." 920477 MHL-026-639 Cumberland Residential & Employment Services & Training 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL C.R.E.S.T. Group Home #1 PO Box 877 Fayetteville NC 28302 1533 Mintz Drive Fayetteville NC 28303 Cumberland (910)822-8758 "C.R.E.S.T., Inc." 920478 MHL-026-640 Cumberland Residential & Employment Services & Training 15-Jun-01 01-Jan-13 31-Dec-13 Type B 02-Mar-11 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL C.R.E.S.T. Group Home #2 PO Box 877 Fayetteville NC 28302 323 Sinclair Street Fayetteville NC 28311 Cumberland (910)488-1007 "C.R.E.S.T., Inc." 920479 MHL-026-641 Cumberland Residential & Employment Services & Training 15-Jun-01 01-Jan-13 31-Dec-13 Type A 02-Apr-12 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL C.R.E.S.T. Group Home #3 PO Box 877 Fayetteville NC 28302 635 Dashland Drive Fayetteville NC 28303 Cumberland (910)868-6208 "C.R.E.S.T., Inc." 940288 MHL-026-642 Cumberland Residential & Employment Services & Training 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL C.R.E.S.T. Group Home #4 PO Box 877 Fayetteville NC 28302 224 Randolph Avenue Fayetteville NC 28311 Cumberland (910)822-5551 "C.R.E.S.T., Inc." 960362 MHL-001-085 Curtis E. Torain 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 9 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sixth Street D.D.A. Group Home 313 E. Sixth Street Burlington NC 27215 313 E. Sixth Street Burlington NC 27215 Alamance (336)222-1812 101169 MHL-001-209 Cynthia Hodges 20-Jan-11 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL A Greater X-Change 1340 Apple Street Extension Burlington NC 27217 1340 Apple Street Extension Burlington NC 27217 Alamance (336)222-7767 Cynthia Hodges 100694 MHL-098-155 Cynthia L. Powell 22-Oct-10 01-Jan-13 31-Dec-13 Type A 17-Feb-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Gentle Hands 1615 Washington Street Wilson NC 27893 1615 Washington Street Wilson NC 27893 Wilson (252)991-2838 Cynthia L. Powell 130029 MHL-047-153 Cyshelle Graham 09-Aug-10 07-Mar-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Majestic Alternative Supervised Living Facility 101 Windsor Lane Raeford NC 28376 101 Windsor Lane Raeford NC 28376 Hoke (910)848-0021 Cyshelle Graham 944300 MHL-026-851 "D & L Health Care Services, Incorporated" 15-Apr-08 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Holliday's Place Group Home 1234 Hoke Loop Road Fayetteville NC 28314 1108 Quail-Meadow Drive Fayetteville NC 28314 Cumberland (910)864-4300 "D & L Health Care Services, Incorporated" 040567 MHL-033-041 "D-POM, LLC" 19-Oct-04 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A NONAMB1 RESIDENTL "D-POM, LLC" P. O. Box 1634 Tarboro NC 27886 316 Russell Drive Princeville NC 27886 Edgecombe (252)813-2530 "D-POM, LLC" 100771 MHL-033-087 "D-POM, LLC" 13-Sep-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "D-POM, LLC" "316 Russell Drive, PO Box 1634" Princeville NC 27886 2901 North Main Street Tarboro NC 27886 Edgecombe (252)824-1255 Priscilla E. Oates 100771 MHL-033-087 "D-POM, LLC" 13-Sep-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL&A MI DAY "D-POM, LLC" "316 Russell Drive, PO Box 1634" Princeville NC 27886 2901 North Main Street Tarboro NC 27886 Edgecombe (252)824-1255 Priscilla E. Oates 100771 MHL-033-087 "D-POM, LLC" 13-Sep-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "D-POM, LLC" "316 Russell Drive, PO Box 1634" Princeville NC 27886 2901 North Main Street Tarboro NC 27886 Edgecombe (252)824-1255 Priscilla E. Oates 100771 MHL-033-087 "D-POM, LLC" 13-Sep-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "D-POM, LLC" "316 Russell Drive, PO Box 1634" Princeville NC 27886 2901 North Main Street Tarboro NC 27886 Edgecombe (252)824-1255 Priscilla E. Oates 120398 MHL-087-011 "D. Duncan Sumpter, P.C." 02-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Foundations - Swain Middle 750 US Highway 64 West Murphy NC 28906 135 Arlington Avenue Bryson City NC 28713 Swain (828)488-3480 "D. Duncan Sumpter, P.C." 051112 MHL-087-012 "D. Duncan Sumpter, P.C." 08-Nov-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Foundations: Swain West Elementary 217 South Main Street Robbinsville NC 28771 4142 Highway 19 West Bryson City NC 28713 Swain (828)488-2119 "D. Duncan Sumpter, P.C." 051005 MHL-087-010 "D. Duncan Sumpter, P.C. dba Appalachian Comm. Svs., Inc" 07-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Recovery Options P.O. Box 2814 Bryson City NC 28713 100 Teptal Terrace Bryson City NC 28713 Swain (828)488-3294 Appalachian Community Services 100945 MHL-050-054 "D. Duncan Sumpter, PC" 01-Oct-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Foundations: Swain Elementary PO Box 444 Murphy NC 28906 4747 Ela Road Whittier NC 28789 Jackson (828)488-0939 Appalachian Community Services 920404 MHL-035-035 "D.D. Residential Services, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Franklin County Group Home #1 PO Box 88 Henderson NC 27536 663 Moulton Road Louisburg NC 27549 Franklin (919)496-6377 Franklin County Group Home #1 944748 MHL-035-036 "D.D. Residential Services, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Franklin County Group Home #2 PO Box 88 Henderson NC 27536 29 Strange Road Louisburg NC 27549 Franklin (919)496-6957 Franklin County Group Home 2 110258 MHL-007-077 "D.R.E.A.M. Provider Care Services, Inc." 20-Apr-04 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY D.R.E.A.M. Provider Care Svcs. Outpatient Trtmt Ctr. 216 Stewart Parkway Washington NC 27889 216 Stewart Parkway Washington NC 27889 Beaufort (252)946-0585 "D.R.E.A.M. Provider Care Services, Inc." 110258 MHL-007-077 "D.R.E.A.M. Provider Care Services, Inc." 20-Apr-04 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY D.R.E.A.M. Provider Care Svcs. Outpatient Trtmt Ctr. 216 Stewart Parkway Washington NC 27889 216 Stewart Parkway Washington NC 27889 Beaufort (252)946-0585 "D.R.E.A.M. Provider Care Services, Inc." 110258 MHL-007-077 "D.R.E.A.M. Provider Care Services, Inc." 20-Apr-04 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY D.R.E.A.M. Provider Care Svcs. Outpatient Trtmt Ctr. 216 Stewart Parkway Washington NC 27889 216 Stewart Parkway Washington NC 27889 Beaufort (252)946-0585 "D.R.E.A.M. Provider Care Services, Inc." 120188 MHL-058-052 "D.R.E.A.M. Provider Care Services, Inc." 11-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Dream Provider Care Services, Inc." 216 Stewart Parkway Washington NC 27889 112 East Main Street Williamston NC 27892 Martin (252)508-4700 120188 MHL-058-052 "D.R.E.A.M. Provider Care Services, Inc." 11-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Dream Provider Care Services, Inc." 216 Stewart Parkway Washington NC 27889 112 East Main Street Williamston NC 27892 Martin (252)508-4700 922838 MHL-094-012 "D.R.E.A.M. Provider Care Services, Inc." 11-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Dream Provider Care Services, Inc." 216 Stewart Parkway Washington NC 27889 716 Washington Street Plymouth NC 27962 Washington (252)791-0430 922838 MHL-094-012 "D.R.E.A.M. Provider Care Services, Inc." 11-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Dream Provider Care Services, Inc." 216 Stewart Parkway Washington NC 27889 716 Washington Street Plymouth NC 27962 Washington (252)791-0430 060915 MHL-041-811 "D.R.E.A.M.S Treatment Services, Inc." 26-Mar-07 01-Jan-13 31-Dec-13 Type B Imposed 04-Sep-08 - - 12 27G.5600E Supervised Living SA Adult A SAS RESIDENTL "D.R.E.A.M.S. Treatment Services, Inc." PO Box 5408 Greensboro NC 27435 620 Martin Street Greensboro NC 27406 Guilford (336)273-5306 060915 MHL-041-811 "D.R.E.A.M.S Treatment Services, Inc." 26-Mar-07 01-Jan-13 31-Dec-13 Type B Imposed 04-Sep-08 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY&RESL "D.R.E.A.M.S. Treatment Services, Inc." PO Box 5408 Greensboro NC 27435 620 Martin Street Greensboro NC 27406 Guilford (336)273-5306 060915 MHL-041-811 "D.R.E.A.M.S Treatment Services, Inc." 26-Mar-07 01-Jan-13 31-Dec-13 Type B Imposed 04-Sep-08 - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY&RESL "D.R.E.A.M.S. Treatment Services, Inc." PO Box 5408 Greensboro NC 27435 620 Martin Street Greensboro NC 27406 Guilford (336)273-5306 070253 MHL-096-206 "Daez of New Vision, Inc." 21-Feb-08 01-Jan-13 31-Dec-13 Type B 29-Oct-12 - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Daez of New Vision, Inc." 118 Kornegay Drive Dudley NC 28333 208 Wayne Avenue Goldsboro NC 27530 Wayne (919)739-5544 Virginia M. Oates 100746 MHL-034-274 Dana Morrison 18-Nov-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Life's New Beginnings 3720 Field Sedge Drive Winston-Salem NC 27107 2706 Thomasville Road Winston-Salem NC 27107 Forsyth (336)784-4589 Dana Morrison 090446 MHL-092-811 Daniel Saft 02-Mar-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL A+ Residential Care 5344 Meryton Pkwy. Raleigh NC 27616 7305 Harps Mill Road Raleigh NC 27615 Wake (919)399-4127 Daniel Saft 000291 MHL-035-029 Daphine Lloyd-Carroll 03-May-00 01-Jan-13 31-Dec-13 Type A 26-Oct-12 - - 3 27G.5100 Community Respite Services A MD RESIDENTL Eason Court PO Box 759 Youngsville NC 27596 113 Eason Court Youngsville NC 27596 Franklin (919)556-4720 Daphine Carroll 000291 MHL-035-029 Daphine Lloyd-Carroll 03-May-00 01-Jan-13 31-Dec-13 Type A 26-Oct-12 - - 2 27G.5600A Supervised Living MI Adult A MI RESIDENTL Eason Court PO Box 759 Youngsville NC 27596 113 Eason Court Youngsville NC 27596 Franklin (919)556-4720 Daphine Carroll 061127 MHL-035-050 Daphine Lloyd-Carroll 15-May-08 01-Jan-13 31-Dec-13 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Eason Court #2 P.O. Box 759 Youngsville NC 27596 124 Gregory Manor Youngsville NC 27596 Franklin (919)556-5355 Daphine Carroll 090379 MHL-064-107 Darrell Frank Johnson II 23-Oct-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL T.Y.L. (Thank You Lord) 2612 Winstead Road Rocky Mount NC 27804 2612 Winstead Road Rocky Mount NC 27804 Nash (252)200-4218 Darrell F. Johnson II 061398 MHL-011-239 "Davidson Homes, Inc." 20-Aug-02 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Kathy's Place 2084 Highway 70 Swannanoa NC 28778 156 Keystone Drive Asheville NC 28806 Buncombe (828)299-1720 "Davidson Homes, Inc." 061398 MHL-011-239 "Davidson Homes, Inc." 20-Aug-02 01-Jan-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services A MD RESIDENTL Kathy's Place 2084 Highway 70 Swannanoa NC 28778 156 Keystone Drive Asheville NC 28806 Buncombe (828)299-1720 "Davidson Homes, Inc." 030370 MHL-059-023 "Davidson Homes, Inc." 23-May-03 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MD RESIDENTL Dawn's Place 2084 Highway 70 Swannanoa NC 28778 219 Hickory Hill Drive Marion NC 28752 McDowell (828)756-4575 "Davidson Homes, Inc." 080485 MHL-011-247 "Davidson Homes, Inc." 18-Jun-03 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY LINCS 2084 Highway 70 Swannanoa NC 28778 6 Byas Lane Swannanoa NC 28778 Buncombe (828)299-1720 "Davidson Homes, Inc." 080485 MHL-011-247 "Davidson Homes, Inc." 18-Jun-03 01-Jan-13 31-Dec-13 - - - - 0 27G.5100 Community Respite Services C&ADOL&A MI DAY LINCS 2084 Highway 70 Swannanoa NC 28778 6 Byas Lane Swannanoa NC 28778 Buncombe (828)299-1720 "Davidson Homes, Inc." 080004 MHL-011-250 "Davidson Homes, Inc." 01-Mar-04 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL God's Special People 2084 Highway 70 Swannanoa NC 28778 17 Swann Hill Lane Asheville NC 28808 Buncombe (828)296-9011 Davidson Homes Inc. 050032 MHL-011-258 "Davidson Homes, Inc." 29-Jun-05 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Joyce Rasheed Home 2084 Highway 70 Swannanoa NC 28778 17 Rhododendron Place Asheville NC 28805 Buncombe (828)299-3231 Davidson Homes Inc. 061041 MHL-011-260 "Davidson Homes, Inc." 15-Jul-05 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL The Peek Home 2084 Hwy 70 Swannanoa NC 28778 11 Grassy Ridge Road Asheville NC 28805 Buncombe (828)505-1266 "Davidson Homes, Inc." 980477 MHL-020-039 "Davidson Homes, Inc." 22-Nov-05 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Deep Creek/Andrews Home 2084 Highway 70 Swannanoa NC 28778 19704 Highway 19 Andrews NC 28901 Cherokee (828)321-1571 Davidson Homes 070117 MHL-011-276 "Davidson Homes, Inc." 15-Mar-07 01-Jan-13 31-Dec-13 - - - - 1 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Case Home 2084 Highway 70 Swannanoa NC 28778 27 Oakcrest Drive Asheville NC 28806 Buncombe (828)230-6262 "Davidson Homes, Inc." 070117 MHL-011-276 "Davidson Homes, Inc." 15-Mar-07 01-Jan-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services A MD RESIDENTL Case Home 2084 Highway 70 Swannanoa NC 28778 27 Oakcrest Drive Asheville NC 28806 Buncombe (828)230-6262 "Davidson Homes, Inc." 070803 MHL-020-044 "Davidson Homes, Inc." 19-Dec-07 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Deep Creek Day Program 2084 Highway 70 Swannanoa NC 28778 99 D Robbinsville Road Andrews NC 28901 Cherokee (828)321-4111 Davidson Homes Inc. 080046 MHL-020-046 "Davidson Homes, Inc." 28-Feb-08 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Willow Home 2084 Highway 70 Swannanoa NC 28778 79 Whispering Woods Lane Murphy NC 28906 Cherokee (828)837-9658 Davidson Homes Inc. 080387 MHL-011-305 "Davidson Homes, Inc." 19-Nov-08 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL B & C's Lasting Impressions 2084 Highway 70 Swannanoa NC 28778 145 Quiet Woods Drive Leicester NC 28748 Buncombe (828)683-8029 "Davidson Homes, Inc." 051200 MHL-088-022 "Davidson Homes, Inc." 06-Apr-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Gibadlo Home 2084 Highway 70 Swannanoa NC 28778 505 Bulling Creek Road Penrose NC 28766 Transylvania (828)883-2403 "Davidson Homes, Inc." 090415 MHL-100-015 "Davidson Homes, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 1 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Warren Home 2084 Highway 70 Swannanoa NC 28778 1054 Old Mine Fork Road Burnsville NC 28714 Yancey (828)682-4106 "Davidson Homes, Incorporated" 100994 MHL-020-055 "Davidson Homes, Inc." 23-Nov-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Deep Creek Laurel Home 2084 Highway 70 Swannanoa NC 28778 111 Whispering Woods Lane Murphy NC 28906 Cherokee (828)837-0352 "Davidson Homes, Inc." 100956 MHL-011-329 "Davidson Homes, Inc." 28-Dec-10 14-Feb-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services A MI RESIDENTL McPherson Home 2084 Highway 70 Swannanoa NC 28778 16 Walnut Hill Drive Fairview NC 28730 Buncombe (828)628-3028 "Davidson Homes , Inc." 100956 MHL-011-329 "Davidson Homes, Inc." 28-Dec-10 14-Feb-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL McPherson Home 2084 Highway 70 Swannanoa NC 28778 16 Walnut Hill Drive Fairview NC 28730 Buncombe (828)628-3028 "Davidson Homes , Inc." 101126 MHL-011-331 "Davidson Homes, Inc." 07-Apr-11 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MD RESIDENTL Pat Bradley Home 2084 Highway 70 Swannanoa NC 28778 408 Lytle Cove Road Swannanoa NC 28778 Buncombe (828)686-0083 "Davidson Homes, Inc." 120068 MHL-059-059 "Davidson Homes, Inc." 08-Jun-12 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Taylor Home 2084 US Highway 70 Swannanoa NC 28778 43 East Crawford Street Old Fort NC 28762 McDowell (828)668-6263 "Davidson Homes, Inc." 120342 MHL-011-346 "Davidson Homes, Inc." 23-Jul-12 01-Jan-13 31-Dec-13 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Bartlett Home 2084 US Hwy 70 Swannanoa NC 28778 26 Earnhardt Circle Weaverville NC 28787 Buncombe (828)484-9654 "Davidson Homes, Inc." 120478 MHL-011-287 "Davidson Homes, Inc." 09-Aug-07 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Dawn Forrest Home 2084 Highway 70 Swannanoa NC 28778 29 Grandview Circle Asheville NC 28806 Buncombe (828)665-4658 "Davidson Homes, Inc." 070775 MHL-011-353 "Davidson Homes, Inc." 09-Jan-13 09-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Goss Home 2084 US Highway 70 Swannanoa NC 28778 12 Swann Hill Lane Asheville NC 28805 Buncombe (828)505-4162 "Davidson Homes, Inc." 130034 MHL-011-355 "Davidson Homes, Inc." 06-Feb-13 06-Feb-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Livingstone's Home 2084 US Hwy 70 Swannanoa NC 28778 212 Baldwin Road Arden NC 28704 Buncombe (828)505-4162 "Davidson Homes, Inc." 130035 MHL-011-358 "Davidson Homes, Inc." 09-Apr-13 09-Apr-13 31-Dec-13 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Genesis Home 2084 US Hwy 70 Swannanoa NC 28778 270 Wellington Drive Arden NC 28704 Buncombe (828)676-2482 "Davidson Homes, Incorporated" 120050 MHL-075-026 "Davidson Homes, Incorporated" 17-May-12 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Poague Home 2084 US Highway 70 Swannanoa NC 28778 205 Mountainside Drive Columbus NC 28722 Polk (828)894-3429 "Davidson Homes, Inc." 920293 MHL-030-021 "Davie County Group Home, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type B 15-Mar-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Davie County Group Home, Inc" 785 Sanford Avenue Mocksville NC 27028 785 Sanford Avenue Mocksville NC 27028 Davie (336)751-5014 020930 MHL-041-689 Dawn & Keith Milton 14-Aug-03 01-Jan-13 31-Dec-13 Type B 22-Oct-10 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL M&M Special Services PO Box 7674 Greensboro NC 27417-0674 2621 Grimsley Street Greensboro NC 27403 Guilford (336)681-8242 M&M Special Services 960188 MHL-067-034 Dawn Leah Bowen McCullen 11-Mar-96 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL McCullen Home 113 Courtland Drive Jacksonville NC 28546 1001 Henderson Drive Jacksonville NC 28540 Onslow (910)388-1892 100348 MHL-060-1156 "Day By Day Family Services, LLC" 03-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Day By Day Substance Abuse Services 9700 Research Drive Suite 122 Charlotte NC 28262 9700 Research Drive Suite 135A Charlotte NC 28262 Mecklenburg (704)405-4265 Day By Day Family Services LLC 100348 MHL-060-1156 "Day By Day Family Services, LLC" 03-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Day By Day Substance Abuse Services 9700 Research Drive Suite 122 Charlotte NC 28262 9700 Research Drive Suite 135A Charlotte NC 28262 Mecklenburg (704)405-4265 Day By Day Family Services LLC 061410 MHL-051-154 "Day By Day Treatment Center of Johnston Co, Inc." 17-Oct-06 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Day By Day Treatment Center PO Box 600 Selma NC 27576 "1101 River Road, Bldg #2, #3, and #4" Selma NC 27576 Johnston (919)965-6550 061410 MHL-051-154 "Day By Day Treatment Center of Johnston Co, Inc." 17-Oct-06 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Day By Day Treatment Center PO Box 600 Selma NC 27576 "1101 River Road, Bldg #2, #3, and #4" Selma NC 27576 Johnston (919)965-6550 061410 MHL-051-154 "Day By Day Treatment Center of Johnston Co, Inc." 17-Oct-06 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Day By Day Treatment Center PO Box 600 Selma NC 27576 "1101 River Road, Bldg #2, #3, and #4" Selma NC 27576 Johnston (919)965-6550 921747 MHL-051-008 "Day By Day Treatment Center of Johnston Co., Inc." 01-Feb-92 01-Jan-13 31-Dec-13 Type A 12-Aug-08 - - 6 27G.3100 Non-hospital Medical Detoxification C&ADOL&A SAS DAY Day By Day Treatment Center PO Box 600 Selma NC 27576 1101 River Road Selma NC 27576 Johnston (919)965-6550 921747 MHL-051-008 "Day By Day Treatment Center of Johnston Co., Inc." 01-Feb-92 01-Jan-13 31-Dec-13 Type A 12-Aug-08 - - 10 27G.3400 Residential Treatment/Rehabilitation C&ADOL&A SAS DAY&RESL Day By Day Treatment Center PO Box 600 Selma NC 27576 1101 River Road Selma NC 27576 Johnston (919)965-6550 921395 MHL-062-027 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services Montgomery Center 2129 Statesville Blvd Salisbury NC 28147 227 North Main Street Troy NC 27371 Montgomery (910)572-3681 "Daymark Recovery Services, Inc." 921395 MHL-062-027 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A MD DAY Daymark Recovery Services Montgomery Center 2129 Statesville Blvd Salisbury NC 28147 227 North Main Street Troy NC 27371 Montgomery (910)572-3681 "Daymark Recovery Services, Inc." 921395 MHL-062-027 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services Montgomery Center 2129 Statesville Blvd Salisbury NC 28147 227 North Main Street Troy NC 27371 Montgomery (910)572-3681 "Daymark Recovery Services, Inc." 921457 MHL-076-091 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services Archdale Center 2129 Statesvills Blvd Salisbury NC 28147 205 Balfour Drive Archdale NC 27263 Randolph (336)431-0700 "Daymark Recovery Services, Inc." 921457 MHL-076-091 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services Archdale Center 2129 Statesvills Blvd Salisbury NC 28147 205 Balfour Drive Archdale NC 27263 Randolph (336)431-0700 "Daymark Recovery Services, Inc." 921457 MHL-076-091 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services Archdale Center 2129 Statesvills Blvd Salisbury NC 28147 205 Balfour Drive Archdale NC 27263 Randolph (336)431-0700 "Daymark Recovery Services, Inc." 922467 MHL-077-053 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services Richmond Center 2129 Statesville Blvd Salisbury NC 28147 116 South Lawerence Street Rockingham NC 28580 Richmond (910)895-2462 "Daymark Recovery Services, Inc." 922467 MHL-077-053 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services Richmond Center 2129 Statesville Blvd Salisbury NC 28147 116 South Lawerence Street Rockingham NC 28580 Richmond (910)895-2462 "Daymark Recovery Services, Inc." 922467 MHL-077-053 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services Richmond Center 2129 Statesville Blvd Salisbury NC 28147 116 South Lawerence Street Rockingham NC 28580 Richmond (910)895-2462 "Daymark Recovery Services, Inc." 922533 MHL-063-082 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services Moore Center 2129 Statesville Blvd Salisbury NC 28147 205 Memorial Drive Pinehurst NC 28370 Moore (910)295-6853 "Daymark Recovery Services, Inc." 922533 MHL-063-082 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services Moore Center 2129 Statesville Blvd Salisbury NC 28147 205 Memorial Drive Pinehurst NC 28370 Moore (910)295-6853 "Daymark Recovery Services, Inc." 922533 MHL-063-082 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services Moore Center 2129 Statesville Blvd Salisbury NC 28147 205 Memorial Drive Pinehurst NC 28370 Moore (910)295-6853 "Daymark Recovery Services, Inc." 922534 MHL-047-119 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services Hoke Center 2129 Statesville Blvd Salisbury NC 28147 121 East Elwood Avenue Raeford NC 28376 Hoke (910)875-8156 "Daymark Recovery Services, Inc." 922534 MHL-047-119 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services Hoke Center 2129 Statesville Blvd Salisbury NC 28147 121 East Elwood Avenue Raeford NC 28376 Hoke (910)875-8156 "Daymark Recovery Services, Inc." 922534 MHL-047-119 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services Hoke Center 2129 Statesville Blvd Salisbury NC 28147 121 East Elwood Avenue Raeford NC 28376 Hoke (910)875-8156 "Daymark Recovery Services, Inc." 922783 MHL-090-004 "Daymark Recovery Services, Inc." 01-Aug-85 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA NONE SAS DAY Daymark Recovery Services-Union Center 1190 West Roosevelt Boulevard Monroe NC 28110 1190 West Roosevelt Boulevard Monroe NC 28110 Union (704)296-6200 Daymark Recovery Svcs-Union Ctr. 922783 MHL-090-004 "Daymark Recovery Services, Inc." 01-Aug-85 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services-Union Center 1190 West Roosevelt Boulevard Monroe NC 28110 1190 West Roosevelt Boulevard Monroe NC 28110 Union (704)296-6200 Daymark Recovery Svcs-Union Ctr. 922783 MHL-090-004 "Daymark Recovery Services, Inc." 01-Aug-85 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services-Union Center 1190 West Roosevelt Boulevard Monroe NC 28110 1190 West Roosevelt Boulevard Monroe NC 28110 Union (704)296-6200 Daymark Recovery Svcs-Union Ctr. 922922 MHL-076-092 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services Randolph Center 2129 Statesville Blvd Salisbury NC 28147 110 West Walker Avenue Asheboro NC 27203 Randolph (336)633-7000 "Daymark Recovery Services, Inc." 922922 MHL-076-092 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services Randolph Center 2129 Statesville Blvd Salisbury NC 28147 110 West Walker Avenue Asheboro NC 27203 Randolph (336)633-7000 "Daymark Recovery Services, Inc." 922922 MHL-076-092 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services Randolph Center 2129 Statesville Blvd Salisbury NC 28147 110 West Walker Avenue Asheboro NC 27203 Randolph (336)633-7000 "Daymark Recovery Services, Inc." 941394 MHL-084-004 "Daymark Recovery Services, Inc." 01-Oct-85 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Daymark Recovery Services - Stanly Center "1000-1 N. First Street, Ste 1" Albemarle NC 28001-1396 1000-1 North First Street Albemarle NC 28001 Stanly (704)983-2117 941394 MHL-084-004 "Daymark Recovery Services, Inc." 01-Oct-85 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services - Stanly Center "1000-1 N. First Street, Ste 1" Albemarle NC 28001-1396 1000-1 North First Street Albemarle NC 28001 Stanly (704)983-2117 941394 MHL-084-004 "Daymark Recovery Services, Inc." 01-Oct-85 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services - Stanly Center "1000-1 N. First Street, Ste 1" Albemarle NC 28001-1396 1000-1 North First Street Albemarle NC 28001 Stanly (704)983-2117 941820 MHL-034-002 "Daymark Recovery Services, Inc." 01-Sep-86 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization A MI DAY "Daymark Recovery Services, Inc." 725 North Highland Avenue Winston Salem NC 27101 651 North Highland Avenue Winston Salem NC 27101 Forsyth (336)725-7777 942128 MHL-029-032 "Daymark Recovery Services, Inc." 01-Jan-93 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Daymark Recovery Services #2 "220 East First Avenue Ext., Ste.10" Lexington NC 27292 "220 East First Avenue Extension, Suite 10" Lexington NC 27292 Davidson (336)242-2450 "Daymary Recovery Services, Inc" 942128 MHL-029-032 "Daymark Recovery Services, Inc." 01-Jan-93 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services #2 "220 East First Avenue Ext., Ste.10" Lexington NC 27292 "220 East First Avenue Extension, Suite 10" Lexington NC 27292 Davidson (336)242-2450 "Daymary Recovery Services, Inc" 942128 MHL-029-032 "Daymark Recovery Services, Inc." 01-Jan-93 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA ADOL&A MI DAY Daymark Recovery Services #2 "220 East First Avenue Ext., Ste.10" Lexington NC 27292 "220 East First Avenue Extension, Suite 10" Lexington NC 27292 Davidson (336)242-2450 "Daymary Recovery Services, Inc" 943176 MHL-034-154 "Daymark Recovery Services, Inc." 01-Jan-02 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services - Forsyth Center 725 North Highland Ave -First Floor Winston Salem NC 27101 725 North Highland Ave - First Floor Winston Salem NC 27101 Forsyth (336)607-8523 "Billy R. West, Jr., Exec. Dir." 943176 MHL-034-154 "Daymark Recovery Services, Inc." 01-Jan-02 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services - Forsyth Center 725 North Highland Ave -First Floor Winston Salem NC 27101 725 North Highland Ave - First Floor Winston Salem NC 27101 Forsyth (336)607-8523 "Billy R. West, Jr., Exec. Dir." 951448 MHL-004-017 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services Anson Center 2129 Statesville Blvd Salisbury NC 28147 704 Old Lilesville Road Wadesboro NC 28170 Anson (704)694-6588 Daymark Recovery Services Anson Center 951448 MHL-004-017 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services Anson Center 2129 Statesville Blvd Salisbury NC 28147 704 Old Lilesville Road Wadesboro NC 28170 Anson (704)694-6588 Daymark Recovery Services Anson Center 951448 MHL-004-017 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services Anson Center 2129 Statesville Blvd Salisbury NC 28147 704 Old Lilesville Road Wadesboro NC 28170 Anson (704)694-6588 Daymark Recovery Services Anson Center 952118 MHL-053-057 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services Lee Center 2129 Statesville Blvd Salisbury NC 28147 130 Carbonton Road Sanford NC 27330 Lee (919)774-6521 "Daymark Recovery Services, Inc." 952118 MHL-053-057 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services Lee Center 2129 Statesville Blvd Salisbury NC 28147 130 Carbonton Road Sanford NC 27330 Lee (919)774-6521 "Daymark Recovery Services, Inc." 952118 MHL-053-057 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services Lee Center 2129 Statesville Blvd Salisbury NC 28147 130 Carbonton Road Sanford NC 27330 Lee (919)774-6521 "Daymark Recovery Services, Inc." 960556 MHL-090-169 "Daymark Recovery Services, Inc." 15-Jan-10 01-Jan-13 31-Dec-13 - - - - 16 27G.5000 Facility Crisis Svcs. for all Disability Groups A MD RESIDENTL Monroe Crisis Recovery Center 1408 East Franklin Street Monroe NC 28112 1408 East Franklin Street Monroe NC 28112 Union (704)635-2080 080206 MHL-013-056 "Daymark Recovery Services, Inc." 25-Sep-98 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services - Cabarrus Center 284 Executive Park Drive Ste 100 Concord NC 28025 284 Executive Park Drive Concord NC 28025 Cabarrus (704)939-1100 "Daymark Recovery Services, Inc." 080206 MHL-013-056 "Daymark Recovery Services, Inc." 25-Sep-98 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services - Cabarrus Center 284 Executive Park Drive Ste 100 Concord NC 28025 284 Executive Park Drive Concord NC 28025 Cabarrus (704)939-1100 "Daymark Recovery Services, Inc." 990433 MHL-043-077 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services Harnett Center 2129 Statesville Blvd Salisbury NC 28147 5841US Highway 421 South Buies Creek NC 27506 Harnett (910)893-5727 "Daymark Recovery Services, Inc." 990433 MHL-043-077 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services Harnett Center 2129 Statesville Blvd Salisbury NC 28147 5841US Highway 421 South Buies Creek NC 27506 Harnett (910)893-5727 "Daymark Recovery Services, Inc." 990433 MHL-043-077 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services Harnett Center 2129 Statesville Blvd Salisbury NC 28147 5841US Highway 421 South Buies Creek NC 27506 Harnett (910)893-5727 "Daymark Recovery Services, Inc." 050217 MHL-013-140 "Daymark Recovery Services, Inc." 01-Dec-06 01-Jan-13 31-Dec-13 - - - - 16 27G.5000 Facility Crisis Svcs. for all Disability Groups A MI RESIDENTL Crisis Recovery Center at Kannapolis 1309 S. Cannon Blvd Kannapolis NC 28083 1309 South Cannon Boulevard Kannapolis NC 28083 Cabarrus (704)933-3212 "Daymark Recovery Services, Inc." 921822 MHL-079-102 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Daymark Recovery Services Rockingham Center 2129 Statesville Blvd Salisbury NC 28147 405 NC Highway 65 Wentworth NC 27375 Rockingham (336)342-8316 "Daymark Recovery Services, Inc." 921822 MHL-079-102 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Daymark Recovery Services Rockingham Center 2129 Statesville Blvd Salisbury NC 28147 405 NC Highway 65 Wentworth NC 27375 Rockingham (336)342-8316 "Daymark Recovery Services, Inc." 921822 MHL-079-102 "Daymark Recovery Services, Inc." 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Daymark Recovery Services Rockingham Center 2129 Statesville Blvd Salisbury NC 28147 405 NC Highway 65 Wentworth NC 27375 Rockingham (336)342-8316 "Daymark Recovery Services, Inc." 100791 MHL-079-100 "Daymark Recovery Services, Inc." 28-May-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY New Life Club House 2129 Statesville Blvd Salisbury NC 28147 179 Communications Lane Reidsville NC 27320 Rockingham (336)342-1611 "Daymark Recovery Services, Inc." 110008 MHL-080-058 "Daymark Recovery Services, Inc." 01-Oct-91 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY "Daymark Recovery Services, Inc." 2129 Statesville Boulevard Salisbury NC 28147 2129 Statesville Boulevard Salisbury NC 28147 Rowan (704)633-3616 110008 MHL-080-058 "Daymark Recovery Services, Inc." 01-Oct-91 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Daymark Recovery Services, Inc." 2129 Statesville Boulevard Salisbury NC 28147 2129 Statesville Boulevard Salisbury NC 28147 Rowan (704)633-3616 110008 MHL-080-058 "Daymark Recovery Services, Inc." 01-Oct-91 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Daymark Recovery Services, Inc." 2129 Statesville Boulevard Salisbury NC 28147 2129 Statesville Boulevard Salisbury NC 28147 Rowan (704)633-3616 955650 MHL-041-1015 "Daymark Recovery Services, Inc." 25-Mar-11 01-Jan-13 31-Dec-13 - - - - 11 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL Daymark Guilford Residential Treatment Facility 2129 Statesville Blvd. Salisbury NC 28147 5209 W. Wendover Avenue High Point NC 27265 Guilford (336)812-8645 "Daymark Recovery Services, Inc." 955650 MHL-041-1015 "Daymark Recovery Services, Inc." 25-Mar-11 01-Jan-13 31-Dec-13 - - - - 11 27G.3200 Social Setting Detoxification ADOL&A SAS RESIDENTL Daymark Guilford Residential Treatment Facility 2129 Statesville Blvd. Salisbury NC 28147 5209 W. Wendover Avenue High Point NC 27265 Guilford (336)812-8645 "Daymark Recovery Services, Inc." 955650 MHL-041-1015 "Daymark Recovery Services, Inc." 25-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.3300 Outpatient Detoxification ADOL&A SAS DAY Daymark Guilford Residential Treatment Facility 2129 Statesville Blvd. Salisbury NC 28147 5209 W. Wendover Avenue High Point NC 27265 Guilford (336)812-8645 "Daymark Recovery Services, Inc." 955650 MHL-041-1015 "Daymark Recovery Services, Inc." 25-Mar-11 01-Jan-13 31-Dec-13 - - - - 40 27G.3400 Residential Treatment/Rehabilitation ADOL&A SAS RESIDENTL Daymark Guilford Residential Treatment Facility 2129 Statesville Blvd. Salisbury NC 28147 5209 W. Wendover Avenue High Point NC 27265 Guilford (336)812-8645 "Daymark Recovery Services, Inc." 955650 MHL-041-1015 "Daymark Recovery Services, Inc." 25-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA ADOL&A SAS DAY Daymark Guilford Residential Treatment Facility 2129 Statesville Blvd. Salisbury NC 28147 5209 W. Wendover Avenue High Point NC 27265 Guilford (336)812-8645 "Daymark Recovery Services, Inc." 955650 MHL-041-1015 "Daymark Recovery Services, Inc." 25-Mar-11 01-Jan-13 31-Dec-13 - - - - 16 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Daymark Guilford Residential Treatment Facility 2129 Statesville Blvd. Salisbury NC 28147 5209 W. Wendover Avenue High Point NC 27265 Guilford (336)812-8645 "Daymark Recovery Services, Inc." 955650 MHL-041-1015 "Daymark Recovery Services, Inc." 25-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Daymark Guilford Residential Treatment Facility 2129 Statesville Blvd. Salisbury NC 28147 5209 W. Wendover Avenue High Point NC 27265 Guilford (336)812-8645 "Daymark Recovery Services, Inc." 955650 MHL-041-1015 "Daymark Recovery Services, Inc." 25-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY Daymark Guilford Residential Treatment Facility 2129 Statesville Blvd. Salisbury NC 28147 5209 W. Wendover Avenue High Point NC 27265 Guilford (336)812-8645 "Daymark Recovery Services, Inc." 110187 MHL-092-824 "Daymark Recovery Services, Inc." 01-Sep-11 01-Jan-13 31-Dec-13 Type B 11-Dec-12 - - 8 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL Wakebrook-Daymark Recovery Services 110 W. Walker Avenue Asheboro NC 27203 107 Sunnybrook Road Raleigh NC 27610 Wake (919)278-2686 "Daymark Recovery Services, Inc." 110187 MHL-092-824 "Daymark Recovery Services, Inc." 01-Sep-11 01-Jan-13 31-Dec-13 Type B 11-Dec-12 - - 8 27G.5000 Facility Crisis Svcs. for all Disability Groups A MI RESIDENTL Wakebrook-Daymark Recovery Services 110 W. Walker Avenue Asheboro NC 27203 107 Sunnybrook Road Raleigh NC 27610 Wake (919)278-2686 "Daymark Recovery Services, Inc." 110500 MHL-029-123 "Daymark Recovery Services, Inc." 01-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Daymark Davidson Day Treatment 2129 Statesville Blvd. Salisbury NC 28147 175 Watford Road Thomasville NC 27360 Davidson (336)474-8200 "Daymark Recovery Services, Inc." 921398 MHL-003-014 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Daymark PSR 2129 Statesville Blvd. Salisbury NC 28147 102 Health Service Road Sparta NC 28675 Alleghany (336)372-4095 "Daymark Recovery Services, Inc." 922294 MHL-003-015 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Daymark Outpatient Facility 2129 Statesville Blvd. Salisbury NC 28147 1650 Highway 18 South Sparta NC 28675 Alleghany (336)372-4095 "Daymark Recovery Services, Inc." 040688 MHL-005-025 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Daymark - Spruce Haven 2129 Statesville Blvd. Salisbury NC 28147 162 Wm. J.B. Blevins Road Jefferson NC 28640 Ashe (336)246-4855 "Daymark Recovery Services, Inc." 921471 MHL-006-020 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Daymark C.A.R.E.S. 2129 Statesville Blvd. Salisbury NC 28147 636 Cranberry Street Newland NC 28657 Avery (828)733-9236 "Daymark Recovery Services, Inc." 971381 MHL-049-134 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY Daymark Recovery Services - Iredell 2129 Statesville Blvd. Salisbury NC 28147 318 Turnersburg Highway Statesville NC 28625 Iredell (704)872-8916 Daymark Recovery Services Inc 971381 MHL-049-134 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Daymark Recovery Services - Iredell 2129 Statesville Blvd. Salisbury NC 28147 318 Turnersburg Highway Statesville NC 28625 Iredell (704)872-8916 Daymark Recovery Services Inc 971381 MHL-049-134 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Daymark Recovery Services - Iredell 2129 Statesville Blvd. Salisbury NC 28147 318 Turnersburg Highway Statesville NC 28625 Iredell (704)872-8916 Daymark Recovery Services Inc 050036 MHL-049-135 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-13 31-Dec-13 - - - - 12 27G.5000 Facility Crisis Svcs. for all Disability Groups C&ADOL&A MI RESIDENTL Daymark Recovery C.R.C. Statesville 2129 Statesville Blvd. Salisbury NC 28147 524 Signal Hill Drive Extension Statesville NC 28625 Iredell (704)871-1045 "Daymark Recovery Services, Inc." 110236 MHL-086-055 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Daymark Recovery Services - Mount Airy 2129 Statesville Blvd. Salisbury NC 28147 847 Westlake Drive Mt. Airy NC 27030 Surry (336)783-6919 "Daymark Recovery Services, Inc." 921476 MHL-095-047 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY Daymark Recovery Services - Watauga 2129 Statesville Blvd. Salisbury NC 28147 132 Poplar Grove Connector-Ste. B Boone NC 28607 Watauga (828)264-8759 "Daymark Recovery Services, Inc." 921476 MHL-095-047 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Daymark Recovery Services - Watauga 2129 Statesville Blvd. Salisbury NC 28147 132 Poplar Grove Connector-Ste. B Boone NC 28607 Watauga (828)264-8759 "Daymark Recovery Services, Inc." 922676 MHL-097-066 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Daymark Recovery Services - Wilkes 2129 Statesville Blvd. Salisbury NC 28147 1430 Willow Lane North Wilkesboro NC 28659 Wilkes (336)667-5151 "Daymark Recovery Services, Inc." 922676 MHL-097-066 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Daymark Recovery Services - Wilkes 2129 Statesville Blvd. Salisbury NC 28147 1430 Willow Lane North Wilkesboro NC 28659 Wilkes (336)667-5151 "Daymark Recovery Services, Inc." 921702 MHL-099-026 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Daymark Recovery Services - Yadkin 2129 Statesville Blvd. Salisbury NC 28147 320 East Lee Street Yadkinville NC 27055 Yadkin (336)679-8805 Daymark Recovery Services Inc 921702 MHL-099-026 "Daymark Recovery Services, Inc." 31-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Daymark Recovery Services - Yadkin 2129 Statesville Blvd. Salisbury NC 28147 320 East Lee Street Yadkinville NC 27055 Yadkin (336)679-8805 Daymark Recovery Services Inc 120510 MHL-029-124 "Daymark Recovery Services, Inc." 11-Oct-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Daymark Davidson Day Treatment at Oak Grove 2129 Statesville Boulevard Salisbury NC 28147 1771 Hoy Long Road Winston-Salem NC 27107 Davidson (336)242-6003 "Daymark Recovery Services, Inc." 120602 MHL-006-021 "Daymark Recovery Services, Inc." 22-Jan-13 22-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Newland Elementary School Day Treatment 360 Beech Street Newland NC 28657 750 Linville Street Newland NC 28657 Avery (828)733-4911 "Daymark Recovery Services, Inc." 120620 MHL-032-565 Debbie DuRoss 31-Aug-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Psychotherapeutic Community Services Assocation "123 West Main St, Ste M01" Durham NC 27701 "123 West Main Street, Suite M01" Durham NC 27701 Durham (919)530-8888 Debbie DuRoss 090075 MHL-001-197 Deborah B. Thompson 19-May-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Thompson Family Care 2533 East Simpson Road Burlington NC 27217 2533 East Simpson Road Burlington NC 27217 Alamance (336)578-7512 Deborah B. Thompson 110098 MHL-041-1022 Deirdre Milton 22-Jun-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Chavis Manor, LLC" 204 Circle Drive Gibsonville NC 27249 204 Circle Drive Gibsonville NC 27249 Guilford (336)291-7565 Deirdre Milton 110402 MHL-065-192 "Delta Behavioral Health, PLLC" 14-Dec-07 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Delta Behavioral Health, PLLC" "1606 Physicians Dr., Unit 104" Wilmington NC 28401 "1606 Physicians Dr., Unit 104" Wilmington NC 28401 New Hanover (910)343-6890 110553 MHL-041-1041 Delton E. Petress 08-Mar-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Graves Supervised Living I 5706 Pettress Lane Brown Summit NC 27214 5706 Pettress Lane Brown Summit NC 27214 Guilford (336)656-4578 Delton E. Petress 080030 MHL-092-733 Demetrius Tiller 13-Nov-08 01-Jan-13 31-Dec-13 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Dutchess Residential Care PO Box 143 Cary NC 27512 103 Thensia Court Cary NC 27513 Wake (919)651-0015 Demetrius Tiller 100049 MHL-092-785 Demetrius Tiller 30-Jul-10 01-Jan-13 31-Dec-13 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Dutchess One PO Box 143 Cary NC 27512 1613 Burnley Drive Cary NC 27511 Wake (919)521-8112 Demetrius Tiller 120634 MHL-092-863 Demetrius Tiller 15-Mar-13 15-Mar-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Dutchess II PO Box 143 Cary NC 27512 1306 Boxwood Lane Apex NC 27502 Wake (919)521-8112 Demetrius Tiller 110088 MHL-032-370 Derik Lee Abney 23-May-06 01-Jan-13 31-Dec-13 Type A 11-May-12 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL D.H.D. Group Home 1211 Camden Avenue Durham NC 27701 1211 Camden Avenue Durham NC 27701 Durham (919)286-1927 Derik Lee Abney 061089 MHL-032-389 "Destiny Home, Inc." 03-Jan-07 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Destiny Home ,Inc." 1321 Heritage Hills Way Wake Forest NC 27587 630 Rippling Stream Road Durham NC 27704 Durham (919)477-4694 "Destiny Home,Inc." 100868 MHL-018-090 "Destiny Management, Inc." 25-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY Bright Futures PO Box 1826 Drexel NC 28619 1056 3rd Avenue Drive N.W. Hickory 28601 Catawba (828)855-1807 Destiny Management Incorporated 010869 MHL-012-130 "Destiny Management, Inc." 19-Nov-12 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY Heritage Day Supports PO Box 1826 Drexel NC 28619 209 Oakland Avenue Drexel NC 28655 Burke (828)391-8282 "Destiny Management, Inc." 021053 MHL-060-626 "Developmental Disabilities Resources, Inc." 12-Feb-01 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Harrah Home 9929 Albemarle Rd Suite 4-A Charlotte NC 28227 1408 Marlewood Circle Charlotte NC 28227 Mecklenburg (704)536-6681 "DDR, Inc. - Jean Kennedy" 021053 MHL-060-626 "Developmental Disabilities Resources, Inc." 12-Feb-01 01-Jan-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services A MI RESIDENTL The Harrah Home 9929 Albemarle Rd Suite 4-A Charlotte NC 28227 1408 Marlewood Circle Charlotte NC 28227 Mecklenburg (704)536-6681 "DDR, Inc. - Jean Kennedy" 030716 MHL-060-720 "Developmental Disabilities Resources, Inc." 16-Oct-01 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MD RESIDENTL Karita Freeman Home 9822 Albemarle Road Charlotte NC 28227 2537 Thomasson Place Circle Charlotte NC 28213 Mecklenburg (704)921-2276 Dev. Disabilities Resources 010804 MHL-060-728 "Developmental Disabilities Resources, Inc." 31-Oct-01 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL The Bridget Smith Home 9822 Albemarle Road Suite 4A Charlotte NC 28227 10816 Gardenia Street Charlotte NC 28215 Mecklenburg (704)568-7876 "Developmental Disabilities Resources, Inc." 921812 MHL-060-001 "Developmental Disabilities Resources, Inc." 01-Jan-87 01-Jan-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services A MD RESIDENTL Ernestine Johnson Home 9822 Albemarle Road Charlotte NC 28227 3920 Paisley Place Charlotte NC 28208 Mecklenburg (704)394-3882 921812 MHL-060-001 "Developmental Disabilities Resources, Inc." 01-Jan-87 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A AMB RESIDENTL Ernestine Johnson Home 9822 Albemarle Road Charlotte NC 28227 3920 Paisley Place Charlotte NC 28208 Mecklenburg (704)394-3882 944691 MHL-060-201 "Developmental Disabilities Resources, Inc." 01-Jun-93 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&A MI RESIDENTL Janet Wilkins Home 9822 Albemarle Road Charlotte NC 28227 14548 Eaglebrook Drive Charlotte NC 28227 Mecklenburg (704)545-3068 944691 MHL-060-201 "Developmental Disabilities Resources, Inc." 01-Jun-93 01-Jan-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services C&A MR/DD DAYRESL Janet Wilkins Home 9822 Albemarle Road Charlotte NC 28227 14548 Eaglebrook Drive Charlotte NC 28227 Mecklenburg (704)545-3068 060359 MHL-060-950 "Developmental Disabilities Resources, Inc." 20-Oct-04 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Marlo Wallace Home 9822 Albemarle Road Charlotte NC 28227 7461 Abigail Glen Dr Charlotte NC 28212 Mecklenburg (704)536-0773 050024 MHL-060-960 "Developmental Disabilities Resources, Inc." 24-Jun-05 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MD RESIDENTL Judy Hilliard Home 9822 Albemarle Road Charlotte NC 28227 7323 Hannah Alexander Lane Charlotte NC 28227 Mecklenburg (704)573-5146 DDR Inc. 020493 MHL-060-997 "Developmental Disabilities Resources, Inc." 23-Aug-06 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MR/DD RESIDENTL Ruby Wilson Home 9822 Albemarle Road Charlotte NC 28227 7338 Forrest Rader Drive Mint Hill NC 28227 Mecklenburg (704)545-8119 Dev. Disabilities Resources 060907 MHL-060-1005 "Developmental Disabilities Resources, Inc." 26-Oct-06 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Donnetta Robinson Home 9822 Albemarle Road Charlotte NC 28227 1518 Ladora Drive Charlotte NC 28262 Mecklenburg (704)717-8464 Developmental Disabilities Resources Inc. 070333 MHL-060-1020 "Developmental Disabilities Resources, Inc." 31-May-07 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Joyce Robinson Home 9822 Albemarle Road Charlotte NC 28227 3306 Hendrick Chapel Lane Charlotte NC 28216 Mecklenburg (704)573-2504 Developmental Disabilities Resources 070241 MHL-060-1030 "Developmental Disabilities Resources, Inc." 10-Sep-07 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Linda Brown Home 9822 Albemarle Road Charlotte NC 28227 1118 Scottsdale Road Charlotte NC 28217 Mecklenburg (704)299-2667 "Developmental Disabilities Resources, Inc." 080122 MHL-090-164 "Developmental Disabilities Resources, Inc." 01-May-08 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MD RESIDENTL The Baker Home 9822 Albemarle Road Charlotte NC 28227 2407 Unionville Indian Trail Road Indian Trail NC 28079 Union (704)882-3668 Developmental Disabilities Resources Inc. 011138 MHL-060-1058 "Developmental Disabilities Resources, Inc." 20-Apr-08 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Graham Home 9822 Albemarle Road Charlotte NC 28227 3528 Simmons Street Charlotte NC 28208 Mecklenburg (704)393-8276 Developmental Disabilities Resources 050621 MHL-060-1061 "Developmental Disabilities Resources, Inc." 01-Jun-08 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MD RESIDENTL Janice Ingram Home 9822 Albemarle Road Charlotte NC 28227 511 West Rocky River Road Charlotte NC 28213 Mecklenburg (704)598-8325 "Developmental Disabilities Resources, Inc." 050621 MHL-060-1061 "Developmental Disabilities Resources, Inc." 01-Jun-08 01-Jan-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services C&ADOL MI RESIDENTL Janice Ingram Home 9822 Albemarle Road Charlotte NC 28227 511 West Rocky River Road Charlotte NC 28213 Mecklenburg (704)598-8325 "Developmental Disabilities Resources, Inc." 090008 MHL-060-1095 "Developmental Disabilities Resources, Inc." 03-Mar-09 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Sara Smith Home 9822 Albemarle Road Charlotte NC 28227 "2104 Yager Creek Drive, Apt. B" Charlotte NC 28273 Mecklenburg (704)910-4741 Developmental Disabilities Resources 090008 MHL-060-1095 "Developmental Disabilities Resources, Inc." 03-Mar-09 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL "Bayada Nurses, Inc." 5505 Creedmoor Road Raleigh NC 27612 5505 Creedmoor Road Raleigh NC 27612 Wake (919)785-4949 090333 MHL-090-166 "Developmental Disabilities Resources, Inc." 13-Aug-09 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MD RESIDENTL Neal Home 9822 Albemarle Road Charlotte NC 28227 2507 Long Hope Road Monroe NC 28112 Union (704)242-3363 Developmental Disabilities Resources 090635 MHL-060-1113 "Developmental Disabilities Resources, Inc." 11-Sep-09 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY DDR-Connect 9929 Albemarle Road Charlotte NC 28227 9929 Albemarle Road Charlotte NC 28227 Mecklenburg (704)573-9777 DDR Connection 090106 MHL-060-1123 "Developmental Disabilities Resources, Inc." 20-Dec-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Dixon Home 9822 Albemarle Rd. Charlotte NC 28227 2531 Liberton Court Charlotte NC 28216 Mecklenburg (704)536-9300 "Developmental Disabilities, Inc." 090466 MHL-060-1124 "Developmental Disabilities Resources, Inc." 17-Dec-09 01-Jan-13 31-Dec-13 Type A 18-Jun-10 18-Dec-10 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Miller Home "9822 Albemarle Road, Suite 4A" Charlotte NC 28227 8812 Nations Ford Road Charlotte NC 28217 Mecklenburg (704)525-9444 "Developmental Disabilities Resources, Inc." 980474 MHL-080-183 "Developmental Disabilities Resources, Inc." 01-Feb-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Ewart Home 9822 Albemarle Road Charlotte NC 28227 5615 Faith Road Salisbury NC 28146 Rowan (704)279-0588 DDR 091017 MHL-060-1134 "Developmental Disabilities Resources, Inc." 15-Apr-10 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MD RESIDENTL Yanneth Rodriguez Home 9822 Albemarle Road Charlotte NC 28227 10616 Connell Mill Lane Charlotte NC 28227 Mecklenburg (704)969-0657 Developmental Disabilities Resources Inc. 100269 MHL-060-1168 "Developmental Disabilities Resources, Inc." 01-Aug-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Vivian Stafford Home 9822 Albemarle Road Charlotte NC 28227 6311 Bridlewood Lane Charlotte NC 28215 Mecklenburg (704)563-9009 "Developmental Disabilities Resources, Inc." 990892 MHL-090-157 "Developmental Disabilities Resources, Inc." 06-Apr-06 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Brent L. Deese Home 9822 Albemarle Road Charlotte NC 28227 2820 Rosemeade Drive Monroe NC 28110 Union (704)218-6072 DDR 110118 MHL-060-1207 "Developmental Disabilities Resources, Inc." 11-Mar-11 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Cooley's House 9822 Albemarle Road Charlotte NC 28227 2116 Thurles Court Charlotte NC 28270 Mecklenburg (704)841-1137 "Developmental Disabilities Resources, Inc." 110118 MHL-060-1207 "Developmental Disabilities Resources, Inc." 11-Mar-11 01-Jan-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services A MD RESIDENTL Cooley's House 9822 Albemarle Road Charlotte NC 28227 2116 Thurles Court Charlotte NC 28270 Mecklenburg (704)841-1137 "Developmental Disabilities Resources, Inc." 110230 MHL-090-174 "Developmental Disabilities Resources, Inc." 18-May-11 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Rabon Home 9822 Albemarle Road Charlotte NC 28227 1017 Canopy Drive Indian Trail NC 28079 Union (704)684-5579 "Developmental Disabilities Resources, Inc." 110209 MHL-060-1218 "Developmental Disabilities Resources, Inc." 11-Jul-11 01-Jan-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services A MI RESIDENTL Nina Moore Home 9822 Albemarle Road Charlotte NC 28227 9829 Tufts Drive Mint Hill NC 28227 Mecklenburg (704)545-0469 "Developmental Disabilities Resources, Inc." 110209 MHL-060-1218 "Developmental Disabilities Resources, Inc." 11-Jul-11 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Nina Moore Home 9822 Albemarle Road Charlotte NC 28227 9829 Tufts Drive Mint Hill NC 28227 Mecklenburg (704)545-0469 "Developmental Disabilities Resources, Inc." 110574 MHL-060-1011 "Developmental Disabilities Resources, Inc." 25-Jan-07 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MD RESIDENTL Judy Seaton Home 9822 Albemarle Road Charlotte NC 28227 9939 Hillspring Drive Huntersville NC 28078 Mecklenburg (704)875-7117 "Developmental Disabilities Resources, Inc." 120055 MHL-060-961 "Developmental Disabilities Resources, Inc." 24-Jun-05 01-Jan-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services C&ADOL MI RESIDENTL David Kersy Home 9822 Albemarle Rd Charlotte NC 28227 2614 Impatien Drive Charlotte NC 28215 Mecklenburg (704)596-4455 "Developmental Disabilities Resources, Inc." 120055 MHL-060-961 "Developmental Disabilities Resources, Inc." 24-Jun-05 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL David Kersy Home 9822 Albemarle Rd Charlotte NC 28227 2614 Impatien Drive Charlotte NC 28215 Mecklenburg (704)596-4455 "Developmental Disabilities Resources, Inc." 070584 MHL-060-1240 "Developmental Disabilities Resources, Inc." 27-Mar-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Ernie Harris Home 9822 Albemarle Rd. Charlotte NC 28227 15723 Wood Duck Crossing Charlotte NC 28278 Mecklenburg (704)535-9027 "Developmental Disabilities Resources, Inc." 080417 MHL-060-1261 "Developmental Disabilities Resources, Inc." 01-Apr-13 01-Apr-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Gisela Hernandez Home 9822 Albemarle Road Charlotte NC 28227 1009 Lavender Circle Charlotte NC 28262 Mecklenburg (704)548-0188 "Developmental Disabilities Resources, Inc." 010851 MHL-032-270 "Devereux Residential Services, LLC" 05-Dec-01 01-Jan-13 31-Dec-13 Type A 04-Sep-07 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Devereux Residential Services-Alpha Drive 103 Settlers Mill Lane Durham NC 27713 906 Alpha Drive Durham NC 27703 Durham (919)598-9911 Triangle Residential Services 990943 MHL-032-228 "Devereux Residential Services, LLC" 27-Sep-99 01-Jan-13 31-Dec-13 Type B 27-Mar-12 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Devereux Residential Services-Kincaid Court 103 Settlers Mill Lane Durham NC 27713 5 Kincaid Court Durham NC 27703 Durham (919)598-8636 "Triangle Residential Services, Inc." 020057 MHL-060-1019 "Diamond's Community Based Services, Inc." 31-May-07 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Diamond's House #1 8101 Stem Court Charlotte NC 28227 8101 Stem Court Charlotte NC 28227 Mecklenburg (704)566-7858 110815 MHL-060-1236 "Diamond's Community Based Services, Inc." 12-Jan-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Diamond's Substance Abuse Services 8101 Stem Court Charlotte NC 28227 "3553 North Sharon Amity Road, Suite 200" Charlotte NC 28205 Mecklenburg (704)537-1424 "Diamond's Community Based Services, Inc." 110815 MHL-060-1236 "Diamond's Community Based Services, Inc." 12-Jan-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Diamond's Substance Abuse Services 8101 Stem Court Charlotte NC 28227 "3553 North Sharon Amity Road, Suite 200" Charlotte NC 28205 Mecklenburg (704)537-1424 "Diamond's Community Based Services, Inc." 111006 MHL-060-1256 "Diana's Home Care, Inc." 14-Jan-13 14-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hillcrest 402 Hillcrest Drive Huntersville NC 28078 402 Hillcrest Drive Huntersville NC 28078 Mecklenburg (704)948-5997 "Diana's Home Care, Inc." 100251 MHL-041-1016 Dianne Nowlin 06-Jun-11 01-Jan-13 31-Dec-13 - - - - 4 27G.5600B Supervised Living DD Minor C MR/DD RESIDENTL Nowlin Home 2703 Ponderosa Drive Greensboro NC 27406 2110 Willow Road Greensboro NC 27406 Guilford (336)509-5559 Dianne Nolin 120112 MHL-077-071 "Diligent Care, Inc." 19-Jul-12 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Diligent Care Group Home #1 320 Magnolia Square Crt Aberdeen NC 28315 161 Bowen Street Hoffman NC 28347 Richmond (910)281-0967 "Diligent Care, Inc." 120557 MHL-063-103 "Diligent Care, Inc." 20-Nov-12 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Diligent Care, Inc. Day Activity Center" 320 Magnolia Square Court Aberdeen NC 28315 320 Magnolia Square Court Aberdeen NC 28315 Moore (910)944-7500 "Diligent Care, Inc." 051271 MHL-060-087 "Dilworth Center for Chemical Dependency, Inc." 01-Jun-89 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program NONE SAS DAY Dilworth Center for Chemical Dependency 2240 Park Road Charlotte NC 28203 2240 Park Road Charlotte NC 28203 Mecklenburg (704)372-6969 090354 MHL-081-083 DirectCare Community Based Services LLC 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY DirectCare Community Based Services-Day Treatment PO Box 261 Crouse NC 28033 1011 South Broadway Street Forest City NC 28043 Rutherford (828)245-7766 Barrance Roberts 090536 MHL-032-533 "Diverse Family Services, LLC" 13-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Diverse Family Services, LLC" 2402 South Miami Blvd. Suite 108 Durham NC 27703 3519 Fayetteville Street Durham NC 27707 Durham (919)683-9560 Attn: Kristin Jones 090592 MHL-098-172 "Diverse Family Services, LLC" 11-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Diverse Family Services "2402 S. Miami Blvd., Ste. 108" Durham NC 27704 618 Tarboro Street NE Wilson NC 27894 Wilson (252)399-0073 090416 MHL-040-050 "Diverse Family Services, LLC" 30-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Diverse Family Services "2402 S. Miami Blvd., Suite 108" Durham NC 27703 525 Arba Jason Road LaGrange NC 28551 Greene (252)566-7591 "Diverse Family Services, LLC" 110312 MHL-074-233 "Divine Care Services, LLC" 28-Jun-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Divine Care Services, LLC" 3836 Abby Lynn Drive Greenville NC 27858 500-C Dexter Street Greenville NC 27834 Pitt (252)756-6441 921092 MHL-077-044 "Divine Koncepts, Inc." 01-Nov-05 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Steele Street House 202 S. Lawrence Street Rockingham NC 28379 418 Steele Street Rockingham NC 28379 Richmond (910)895-7199 "Divine Koncepts,Inc." 100825 MHL-077-064 "Divine Koncepts, Inc." 27-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Divine Koncepts, II" 202 South Lawrence Street Rockingham NC 28379 807 East Washington Street Rockingham NC 28379 Richmond (910)997-5182 "Divine Koncepts, Inc." 100825 MHL-077-064 "Divine Koncepts, Inc." 27-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY "Divine Koncepts, II" 202 South Lawrence Street Rockingham NC 28379 807 East Washington Street Rockingham NC 28379 Richmond (910)997-5182 "Divine Koncepts, Inc." 090709 MHL-091-090 Divine Prodigy 12-Mar-10 01-Jan-13 31-Dec-13 Type B 28-Feb-11 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Divine Prodigy PO Box 2191 Henderson NC 27536 117 Church Street Henderson NC 27536 Vance (252)431-9115 Nikkitra S. Williams 050464 MHL-074-163 "Dixon Social Interactive Services, Inc." 24-Apr-06 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C MI DAY Dixon Social Interactive Services P.O. Box 30166 Greenville NC 27833 113-A West Firetower Road Winterville NC 27890 Pitt (252)353-0100 100385 MHL-025-018 "Dixon Social Interactive Services, Inc." 06-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Dixon Social Interactive Services, Inc." PO Box 30166 Greenville NC 27833 1430 McCarthy Blvd New Bern NC 28562 Craven (252)633-2516 100024 MHL-025-220 "Dixon Social Interactive Services, Inc." 30-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Dixon Social Interactive Services, Inc." PO Box 30166 Greenville NC 27833 1440 McCarthy Boulevard New Bern NC 28562 Craven (252)635-3100 "Dixon Social Interactive Services, Inc." 060095 MHL-074-234 "Dixon Social Interactive Services, Inc." 07-Jul-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Dixon Social Interactive Services, Inc." PO Box 30166 Greenville NC 28733 313 Clifton Street Greenville NC 27858 Pitt (252)353-0100 120215 MHL-054-145 "Dixon Social Interactive Services, Inc." 07-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Dixon Social Interactive Services, Inc." PO Box 30166 Greenville NC 27833 668 Stratford Boulevard Kinston NC 28504 Lenoir (252)208-0125 120215 MHL-054-145 "Dixon Social Interactive Services, Inc." 07-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Dixon Social Interactive Services, Inc." PO Box 30166 Greenville NC 27833 668 Stratford Boulevard Kinston NC 28504 Lenoir (252)208-0125 120215 MHL-054-145 "Dixon Social Interactive Services, Inc." 07-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Dixon Social Interactive Services, Inc." PO Box 30166 Greenville NC 27833 668 Stratford Boulevard Kinston NC 28504 Lenoir (252)208-0125 061446 MHL-054-165 "Dixon Social Interactive Services, Inc." 01-Jun-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Dixon Social Interactive Services, Inc." PO Box 30166 Greenville NC 27833 664 Stratford Boulevard Kinston NC 28504 Lenoir (252)208-0125 120332 MHL-058-053 "Dixon Social Interactive Services, Inc." 15-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Dixon Social Interactive Services PO Box 30166 Greenville NC 27833 117 E. Main Street Williamston NC 27892 Martin (252)508-4610 100383 MHL-032-539 Don's Adult Care LLC 10-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Don's Adult Care LLC 3925 North Duke Street Suite 102-A Durham NC 27704 3925 North Duke Street Suite 102-A Durham NC 27704 Durham (919)479-9050 061085 MHL-032-510 Donald Brown and Hattie Carrington 06-Nov-09 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL New Beginning 2303 NC 55 Highway Durham NC 27707 2303 NC 55 Highway Durham NC 27707 Durham (919)688-7893 Focusing on Living Residential Services 061230 MHL-032-404 "Donald E. Brown, Sr." 20-Mar-07 01-Jan-13 31-Dec-13 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Don's Adult Care Group Home 1925 Apex Highway Durham NC 27707 1925 Apex Highway Durham NC 27707 Durham (919)682-1275 931616 MHL-016-010 Donald Mrdjenovic 01-Feb-93 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "Carteret Counseling Services, Inc." 105 North Tenth Street Suite 6 Morehead City NC 28557 105 North Tenth Street Suite 6 Morehead City NC 28557 Carteret (252)247-1109 "Carteret Counseling Services, Inc." 931616 MHL-016-010 Donald Mrdjenovic 01-Feb-93 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Carteret Counseling Services, Inc." 105 North Tenth Street Suite 6 Morehead City NC 28557 105 North Tenth Street Suite 6 Morehead City NC 28557 Carteret (252)247-1109 "Carteret Counseling Services, Inc." 060949 MHL-026-835 Donna Black 13-Mar-07 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL New Horizons Group Home 2433 Gray Goose Loop Fayetteville NC 28306 3319 Auburn Drive Fayetteville NC 28306 Cumberland (910)425-5725 100191 MHL-026-911 Donna Black 01-Nov-10 01-Jan-13 31-Dec-13 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL New Horizons Group Home 2433 Gray Goose Loop Fayetteville NC 28306 3117 Dyke Street Fayetteville NC 28306 Cumberland (910)339-4410 Donna Black 061369 MHL-033-052 Doris Sessoms 24-Aug-07 01-Jan-13 31-Dec-13 Type B 13-May-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Someone Does Care P.O. BOX 1232 Tarboro NC 27886 601 West Walnut Street Tarboro NC 27886 Edgecombe (252)641-2734 Doris A. Sessoms 090792 MHL-033-080 Doris Sessoms 23-Apr-10 01-Jan-13 31-Dec-13 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Someone Does Care II 705 Greenwood Boulevard Princeville NC 27886 705 Greenwood Boulevard Princeville NC 27886 Edgecombe (252)823-2212 Doris Sessoms 060447 MHL-098-153 Doris Sessoms 17-Sep-10 01-Jan-13 31-Dec-13 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Someone Does Care III 601 Walnut Street Tarboro NC 27886 1812 Birchwood Drive Wilson NC 27893 Wilson (252)281-1533 Doris Sessoms 050880 MHL-092-441 Dorothy Murchison 01-Dec-00 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Murchison Residential Corp 533 Texanna Way Holly Springs NC 27540 533 Texanna Way Holly Springs NC 27540 Wake (919)557-6712 120633 MHL-092-860 Dr. Michael Avant 05-Mar-02 24-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Serenity Counseling 5126 Green Knight Court Raleigh NC 27612 "3801 Wake Forest Road, Suite 102" Raleigh NC 27609 Wake (919)301-8595 Dr. Michael Avant 120633 MHL-092-860 Dr. Michael Avant 05-Mar-02 24-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Serenity Counseling 5126 Green Knight Court Raleigh NC 27612 "3801 Wake Forest Road, Suite 102" Raleigh NC 27609 Wake (919)301-8595 Dr. Michael Avant 120630 MHL-012-132 "Dream Connections, Inc." 02-Apr-13 02-Apr-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY Dream Connections Day Services PO Box 585 Valdese NC 28690 "400 Main Street West, Suite 18" Valdese NC 28690 Burke (828)874-0909 "Dream Connections, Inc." 060417 MHL-012-133 "Dream Connections, Inc." 12-Apr-13 12-Apr-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The J. Smith Home PO Box 585 Valdese NC 28690 2265 Piedmont Road Morganton NC 28655 Burke (828)430-8217 "Dream Connections, Inc." 956262 MHL-029-103 "Dream Makers Assisted Living Services, LLC" 25-Jan-06 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Dream Makers Assisted Living Services LLC 6 West Hemstead Street Lexington NC 27292 168 Roy Lopp Road Lexington NC 27292 Davidson (336)300-0370 Dream Makers Assisted Living Services. Inc. 120549 MHL-034-304 "Dream Makers Assisted Living Services, LLC" 08-Apr-13 08-Apr-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Stickney Road Home 6 West Hemstead Street Lexington NC 27262 257 Stickney Road Winston-Salem NC 27107 Forsyth (336)784-6212 "Dream Makers Assisted Living Services, LLC" 010103 MHL-060-852 "Dreams and Vision, LLC" 02-Aug-02 01-Jan-13 31-Dec-13 - - - - 6 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL New Vision Home "5736 N. Tryon St., Ste. 204" Charlotte NC 28213 5004 Glenview Court Charlotte NC 28215 Mecklenburg (704)566-9734 "Dreams and Vision, LLC" 100397 MHL-032-525 "Dreamworks II, LLC" 26-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Dreamworks II, LLC" PO Box 51669 Durham NC 27717 1802 Martin Luther King St. Ste. 208 Durham NC 27707 Durham (919)226-3180 Tamara Crawford 100397 MHL-032-525 "Dreamworks II, LLC" 26-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Dreamworks II, LLC" PO Box 51669 Durham NC 27717 1802 Martin Luther King St. Ste. 208 Durham NC 27707 Durham (919)226-3180 Tamara Crawford 100397 MHL-032-525 "Dreamworks II, LLC" 26-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Dreamworks II, LLC" PO Box 51669 Durham NC 27717 1802 Martin Luther King St. Ste. 208 Durham NC 27707 Durham (919)226-3180 Tamara Crawford 990927 MHL-032-227 "Duke University Health System, Inc." 27-Sep-99 01-Jan-13 31-Dec-13 - - - - 0 27G.3300 Outpatient Detoxification C&A SAS DAY Duke Addictions Program DUMC Box 104003 Durham NC 27710 2218 B Elder St. Durham NC 27705 Durham (919)668-6452 Diana Zambrano 990919 MHL-032-226 Duke University Medical Center 24-Sep-99 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA NONE SAS DAY Durham Child Development & Behavioral Health Clinic PO Box 2906 DUMC Durham NC 27710 "106 Davidson Bldg., DUMC Box 3701" Durham NC 27710 Durham (919)668-4467 Duke University Medical Center 990919 MHL-032-226 Duke University Medical Center 24-Sep-99 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Durham Child Development & Behavioral Health Clinic PO Box 2906 DUMC Durham NC 27710 "106 Davidson Bldg., DUMC Box 3701" Durham NC 27710 Durham (919)668-4467 Duke University Medical Center 920711 MHL-031-038 "Duplin Sampson Group Homes, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type A 04-Oct-06 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Magnolia Group Home PO Box 1190 Clinton NC 28329 240 North Peterson Street Magnolia NC 28453 Duplin (910)289-4270 "DSGH, Inc." 921054 MHL-082-042 "Duplin Sampson Group Homes, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sampson Group Home PO Box 1190 Clinton NC 28329 300 Jacobs Street Clinton NC 28328 Sampson (910)592-5856 "Duplin Sampson Group Homes, Inc." 991056 MHL-031-039 "Duplin Sampson Group Homes, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Warsaw Group Home PO Box 1190 Clinton NC 28329 716 Curtis Road Warsaw NC 28398 Duplin (910)293-7871 "Duplin Sampson Group Homes, Inc." 920423 MHL-082-041 "Duplin-Sampson Group Homes, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Garland Group Home PO Box 1190 Clinton NC 28329 168 Herring Avenue Garland NC 28441 Sampson (910)529-2301 "Duplin-Sampson Group Homes, Inc." 920156 MHL-032-266 "Durham County Community Living Programs, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cambian Place Group Home PO Box 51159 Durham NC 27717-1159 23 Cambian Place Durham NC 27704 Durham (919)687-4564 "Durham Co. Community Living Prog, Inc." 920178 MHL-032-264 "Durham County Community Living Programs, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Carpenter-Fletcher Road Group Home PO Box 51159 Durham NC 27717-1159 1119 Carpenter Fletcher Road Durham NC 27713 Durham (919)544-2433 "Durham Co. Community Living Prog, Inc." 920312 MHL-032-267 "Durham County Community Living Programs, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type A 17-Apr-09 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Dixon Road Group Home PO Box 51159 Durham NC 27717-1159 3520 Dixon Road Durham NC 27707 Durham (919)493-5377 "Durham Co Community Living Prog, Inc." 920481 MHL-032-263 "Durham County Community Living Programs, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type A 29-May-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Watts Street Group Home PO Box 51159 Durham NC 27717-1159 506 Watts Street Durham NC 27701 Durham (919)688-8641 "Durham County Community Living Programs, Inc." 920775 MHL-032-265 "Durham County Community Living Programs, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Melbourne Street Group Home PO Box 51159 Durham NC 27717-1159 311 Melbourne Street Durham NC 27703 Durham (919)596-8156 Durham County Community Living Prog 920991 MHL-032-261 "Durham County Community Living Programs, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Regis Avenue Group Home PO Box 51159 Durham NC 27717-1159 4425 Regis Avenue Durham NC 27705 Durham (919)382-7463 Durham County Community Living Prog 944301 MHL-032-262 "Durham County Community Living Programs, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type B 07-Nov-11 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Westglen Road Group Home PO Box 51159 Durham NC 27717-1159 3523 Westglen Road Durham NC 27705 Durham (919)493-7783 Durham Co. Community Living Prog. 050577 MHL-032-159 Durham County Government 07-Mar-97 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity NONE NONE DAY Durham County Criminal Justice Resource Center 326 East Main Street Durham NC 27701 326 East Main Street Durham NC 27701 Durham (919)560-0500 Durham County Government 050577 MHL-032-159 Durham County Government 07-Mar-97 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA NONE SAS DAY Durham County Criminal Justice Resource Center 326 East Main Street Durham NC 27701 326 East Main Street Durham NC 27701 Durham (919)560-0500 Durham County Government 060389 MHL-032-379 "Durham Exchange Club Industries, Inc." 13-Jul-06 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs NONE NONE DAY Durham Exchange Club Industries Inc. 1717 Lawson St Durham NC 27703 1717 Lawson St. Durham NC 27703 Durham (919)596-1341 101182 MHL-004-030 "E Squared Community Services, LLC" 21-Jan-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "E Squared Community Services, LLC" 1145 Stone Kirk Drive Raleigh NC 27614 105 North Rutherford Street Wadesboro NC 28170 Anson (704)994-2640 110159 MHL-063-097 "E Squared Community Services, LLC" 29-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "E Squared Community Services, LLC" 1145 Stone Kirk Drive Raleigh NC 27614 231 West Pennsylvania Avenue Southern Pines NC 28387 Moore (910)692-2767 120194 MHL-076-114 E's House Inc. 27-Mar-13 27-Mar-13 31-Dec-13 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL E's House 3200 Matthews Mint Hill Road Matthews NC 28105 612 East Presnell Street Asheboro NC 27203 Randolph (336)629-1227 E's House Inc. 061471 MHL-092-826 "Eagle Healthcare Services, Inc." 06-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Eagle PSR "4428 Louisburg Rd., Ste. 109" Raleigh NC 27616 3537 Maitland Drive Raleigh NC 27610 Wake (919)872-7686 "Eagle Healthcare Services, Inc." 000046 MHL-092-419 "Eagle Home, Inc." 21-Jun-00 01-Jan-13 31-Dec-13 Type A 04-Dec-08 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Eagle Home I 4428 Louisburg Road Suite 109 Raleigh NC 27604 804 West Gannon Street Zebulon NC 27597 Wake (919)872-7686 Eagle Healthcare Services 000046 MHL-092-419 "Eagle Home, Inc." 21-Jun-00 01-Jan-13 31-Dec-13 Type A 04-Dec-08 - - 6 27G.5100 Community Respite Services A MI RESIDENTL Eagle Home I 4428 Louisburg Road Suite 109 Raleigh NC 27604 804 West Gannon Street Zebulon NC 27597 Wake (919)872-7686 Eagle Healthcare Services 020678 MHL-092-512 "Eagle Home, Inc." 25-Sep-02 01-Jan-13 31-Dec-13 Type A 10-Feb-09 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Eagle Home II 4428 Louisburg Road Suite 109 Raleigh NC 27604 3300 New Hope Road Raleigh NC 27604 Wake (919)872-7686 Eagle Home Inc. 020678 MHL-092-512 "Eagle Home, Inc." 25-Sep-02 01-Jan-13 31-Dec-13 Type A 10-Feb-09 - - 0 27G.5100 Community Respite Services A MR/DD RESIDENTL Eagle Home II 4428 Louisburg Road Suite 109 Raleigh NC 27604 3300 New Hope Road Raleigh NC 27604 Wake (919)872-7686 Eagle Home Inc. 040020 MHL-092-373 "Eagle Home, Inc." 01-Jul-99 01-Jan-13 31-Dec-13 Suspension of Admission 12-Apr-13 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Eagle Home #4 "4428 Louisburg Road, Suite 109" Raleigh NC 27616 712 Rockville Road Wake Forest NC 27587 Wake (919)272-1048 Rosemary Nwankwo 030843 MHL-092-559 "Eagle Home, Inc." 08-Oct-03 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Eagle Home III 4428 Louisburg Road Ste 109 Raleigh NC 27604 5800 Brambleton Avenue Raleigh NC 27610 Wake (919)773-2276 Eagle Healthcare Services Inc 030843 MHL-092-559 "Eagle Home, Inc." 08-Oct-03 01-Jan-13 31-Dec-13 - - - - 6 27G.5100 Community Respite Services A MR/DD RESIDENTL Eagle Home III 4428 Louisburg Road Ste 109 Raleigh NC 27604 5800 Brambleton Avenue Raleigh NC 27610 Wake (919)773-2276 Eagle Healthcare Services Inc 021104 MHL-092-620 "Eagle Home, Inc." 04-Nov-04 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Eagle Home #5 4428 Louisburg Road Raleigh NC 27604 8020 Caliberwood Drive Raleigh NC 27616 Wake (919)217-7813 Eagle Healthcare Services Inc 020095 MHL-092-662 "Eagle Home, Inc." 13-Nov-06 01-Jan-13 31-Dec-13 Type A 15-Oct-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Eagle Home #6 4428 Louisburg Rd. ste. 109 Raleigh NC 27604 3316 Marcony Way Raleigh NC 27610 Wake (919)662-7555 "Eagle Home, Inc." 080365 MHL-092-690 "Eagle Home, Inc." 27-Sep-07 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Eagle Home #7 "4428 Louisburg Road, Suite 109" Wake NC 27610-4302 819 Cotton Place Raleigh NC 27610 Wake (919)272-1048 Rosemary Nwankwo 030161 MHL-092-782 "Eagle Home, Inc." 15-Jul-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Eagle Home #8 4428 Louisburg Suite 109 Raleigh NC 27616 2726 Newsome Street Raleigh NC 27603 Wake (919)272-1048 "Rosemary Nwankwo, RN" 100113 MHL-092-837 "Eagle Home, Inc." 20-Feb-12 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Eagle Home #9 "4428 Louisburg Road, Ste 109" Raleigh NC 27604 627 Donald Ross Drive Raleigh NC 27610 Wake (919)803-3130 "Eagle Home, Inc." 922759 MHL-007-078 "East Carolina Health - Beaufort, Inc." 01-Sep-11 01-Jan-13 31-Dec-13 - - - - 9 27G.5000 Facility Crisis Svcs. for all Disability Groups A MI RESIDENTL Ray G. Silverthorne Crisis Center 1379 Cowell Farm Road Washington NC 27889 1379 Cowell Farm Road Washington NC 27889 Beaufort (252)975-8852 Ray G. Silverthorn Crisis Center 090074 MHL-074-206 East Carolina University 16-Apr-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Project Working Recovery Room 4425 HS Bldg. East Carolina U Greenville NC 27858-4353 Room 4425 HS Bldg. East Carolina Unviresty Greenville NC 27858-4353 Pitt (252)916-7424 East Carolina University 041183 MHL-074-070 "East Coast Counseling, Inc." 21-Oct-98 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA NONE SAS DAY "East Coast Counseling, Inc." 620 Lynndale Court Suite C Greenville NC 27858 620 Lynndale Court Suite C Greenville NC 27858 Pitt (252)752-8602 920338 MHL-059-038 "East Court Group Care, Inc." 01-Apr-08 01-Jan-13 31-Dec-13 Type A 10-Nov-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL East Court Group Care 571 East Court Street Marion NC 28752 571 East Court Street Marion NC 28752 McDowell (828)652-8755 "East Court Group Care,Inc." 001666 MHL-065-130 "Easter Seals UCP North Carolina & Virginia, Inc." 30-Mar-01 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL EL Ogden 33 Darlington Avenue Wilmington NC 28405 129 El Ogden Drive Wilmington NC 28405 New Hanover (910)681-0936 "Easer Seals UCP NC, Inc." 920084 MHL-092-471 "Easter Seals UCP North Carolina & Virginia, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB2 RESIDENTL Easter Seals UCP NC Raleigh Group Home 1529 Ben Lloyd Drive Raleigh NC 27604 1529 Ben Lloyd Drive Raleigh NC 27604 Wake (919)856-9547 920125 MHL-088-010 "Easter Seals UCP North Carolina & Virginia, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type B 24-May-11 - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Brevard Group Home Easter Seals UCP NC Housing 31 James Street Brevard NC 28712 31 James Street Brevard NC 28712 Transylvania (828)862-3401 920470 MHL-040-019 "Easter Seals UCP North Carolina & Virginia, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type A 09-Nov-09 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Easter Seals UCP-Greene County Group Home 704 S.E. Second Street Snow Hill NC 28580 704 S.E. Second Street Snow Hill NC 28580 Greene (252)747-3654 "Easter Seals UCP North Carolina, Inc." 920494 MHL-042-037 "Easter Seals UCP North Carolina & Virginia, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type A 03-Mar-08 - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Easter Seals UCP NC Halifax Group Home 2202 Roanoke Avenue Roanoke Rapids NC 27870 2202 Roanoke Avenue Roanoke Rapids NC 27870 Halifax (252)537-9520 UCP Halifax County Group Home 920652 MHL-045-054 "Easter Seals UCP North Carolina & Virginia, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Laurel Park Group Home Easter Seals UCP NC Housing 318 Primrose Lane Hendersonville NC 28793 318 Primrose Lane Hendersonville NC 28739 Henderson (828)696-8526 921273 MHL-090-123 "Easter Seals UCP North Carolina & Virginia, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Easter Seals UCP NC-Union County Group Home 2010 Timber Ridge Road Monroe NC 28112 2010 Timber Ridge Road Monroe NC 28112 Union (704)283-7799 921386 MHL-092-476 "Easter Seals UCP North Carolina & Virginia, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type A 02-Jul-12 - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Easter Seals UCP-Zebulon Group Home 120 East Lee Street Zebulon NC 27597 120 East Lee Street Zebulon NC 27597 Wake (919)269-6353 UCP-Zebulon Group Home 921487 MHL-042-002 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Jun-85 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MD DAY SET - WELDON 1710 Watkins Drive Weldon NC 27890 1710 Watkins Drive Weldon NC 27890 Halifax (252)536-4105 SET - WELDON 922148 MHL-055-014 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Nov-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lithia Inn Group Home 408 Lithia Inn Road Lincolnton NC 28092 408 Lithia Inn Road Lincolnton NC 28092 Lincoln (704)735-2126 Easter Seals 941271 MHL-053-040 "Easter Seals UCP North Carolina & Virginia, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Lee County Group Home 4334 Lee Avenue Sanford NC 27330 4334 Lee Avenue Sanford NC 27330 Lee (919)774-8313 Trina Oldham 030363 MHL-074-035 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Jun-93 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Copymatic of Greenville 200 West 4th Street Greenville NC 27858 200 West 4th Street Greenville NC 27858 Pitt (252)695-6155 Copymatic of Greenville 971289 MHL-060-402 "Easter Seals UCP North Carolina & Virginia, Inc." 08-Sep-97 01-Jan-13 31-Dec-13 Type A 16-Dec-10 - - 5 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Commonwealth Group Home 3601 Commonwealth Ave Charlotte NC 28205 3601 Commonwealth Avenue Charlotte NC 28205 Mecklenburg (704)535-9171 971295 MHL-060-403 "Easter Seals UCP North Carolina & Virginia, Inc." 08-Sep-97 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB2 RESIDENTL Ashcraft Home 1351 Ashcraft Lane Charlotte NC 28209 1351 Ashcraft Lane Charlotte NC 28209 Mecklenburg (704)527-7737 021013 MHL-040-022 "Easter Seals UCP North Carolina & Virginia, Inc." 04-Nov-02 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Shady Grove 944 Shady Grove Church Road Snow Hill NC 28580 944 Shady Grove Church Road Snow Hill NC 28580 Greene (252)747-7185 050480 MHL-074-158 "Easter Seals UCP North Carolina & Virginia, Inc." 06-Jul-05 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Wimbledon Supervised Living 704 Southeast Second Street Snow Hill NC 28580 1650 Wimbledon Drive #101 Greenville NC 27858 Pitt (252)355-0223 Easter Seals UCP 020302 MHL-065-189 "Easter Seals UCP North Carolina & Virginia, Inc." 27-Mar-07 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lakewood 3531 Lakewood Drive Wilmington NC 28409 3531 Lakewood Drive Wilmington NC 28409 New Hanover (910)791-4348 Easter Seals UCP 050332 MHL-074-211 "Easter Seals UCP North Carolina & Virginia, Inc." 12-Aug-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Oakmont Supervised Living 600 - F Lynndale Court Greenville NC 27858 126 Oakmont Drive #27F Greenville NC 27858 Pitt (252)353-5070 Easter Seals 031077 MHL-034-253 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Apr-10 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Salem House 4407 Providence Ln Sute C Winston-Salem NC 27106 2710 Burlwood Drive Winston-Salem NC 27103 Forsyth (336)757-4681 "Easter Seals UCP NC, Inc." 070871 MHL-042-058 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Halifax PSR 735 Roanoke Avenue Roanoke Rapids NC 27870 735 Roanoke Avenue Roanoke Rapids NC 27870 Halifax (252)308-0443 Glenn Echerd 031057 MHL-064-119 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Aug-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Western Avenue Facility-Rocky Mount 511 Western Avenue Rocky Mount NC 27804 511 Western Avenue Rocky Mount NC 27804 Nash (252)212-5245 Western Ave Facility 921830 MHL-064-120 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Aug-10 01-Jan-13 31-Dec-13 Type A 27-May-11 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Falls Road Facility-Rocky Mount 715 Falls Road Rocky Mount NC 27804 715 Falls Road Rocky Mount NC 27804 Nash (252)212-5236 Easter Seals UCP of NC & VA / Angela Fivek 922846 MHL-084-078 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Aug-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Waverly House P.O. Box 1943 Albemarle NC 28001 2215 Waverly Street Albemarle NC 28001 Stanly (704)985-1000 Easter Seals UCP of NC & VA /Sandra Schaefer 921527 MHL-041-977 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Aug-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Brentwood Group Home 2325 Brentwood St High Point NC 27263 2325 Brentwood Street High Point NC 27263 Guilford (336)861-2041 Easter Seals UCP NC & VA 960388 MHL-041-978 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Aug-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Edgewood Group Home 408 North Ward Avenue High Point NC 27263 408 North Ward Avenue High Point NC 27263 Guilford (336)882-6626 952311 MHL-090-171 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Aug-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL North Ridge Group Home 124 Ridge Run Street Marshville NC 28103 124 Ridge Run Street Marshville NC 28103 Union (704)624-3801 Easter Seals UCP 000243 MHL-044-053 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Aug-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Park Vista Group Home 38 Thomas Park Drive Waynesville NC 28786 38 Thomas Park Drive Waynesville NC 28786 Haywood (828)452-2752 Easter Seals UCP 921868 MHL-014-076 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Aug-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Holly Ridge 1417 Harper Avenue SW Lenoir NC 28645 1417 Harper Avenue SW Lenoir NC 28645 Caldwell (828)757-4391 Easter Seals UCP 980466 MHL-012-120 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Aug-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Northwood Group Home 407 North College Street Morganton NC 28655 407 North College Street Morganton NC 28655 Burke (828)433-8074 Easter Seals UCP 922888 MHL-005-024 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Aug-10 01-Jan-13 31-Dec-13 Type A 10-Jun-11 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Willow Place Group Home 603 Long Street West Jefferson NC 28694 603 Long Street West Jefferson NC 28694 Ashe (336)219-0038 Easter Seals UCP 956989 MHL-012-121 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Aug-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Greystone 114 Erwin Street Morganton NC 28655 114 Erwin Street Morganton NC 28655 Burke (828)433-8256 Easter Seals UCP 080218 MHL-013-153 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Aug-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Ashlynn Group Home 89 Ashlynn Drive Concord NC 28025 89 Ashlynn Drive Concord NC 28025 Cabarrus (704)723-4781 Easter Seals UCP 070877 MHL-041-1001 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Jan-11 01-Jan-13 31-Dec-13 Type A 05-Dec-12 - - 4 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MD RESIDENTL Woodbrook House "4407 Providence Lane, Suite C" Winston-Salem NC 27106 934 Woodbrook Drive Greensboro NC 27410 Guilford (336)617-4054 Julie Wood 061112 MHL-074-230 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Feb-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Camelot Supervised Living "600 Lundalle Ct., Ste. F" Greenville NC 27858 108 Guinevere Lane Greenville NC 27858 Pitt (252)321-7136 Easter Seals 090574 MHL-034-280 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Jan-11 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MD RESIDENTL Snead Home "4407 Providence Ln., Ste. 400" Winston-Salem NC 27106 165 Snead Road Winston-Salem NC 27103 Forsyth (336)245-8198 "Easter Seals UCP North Carolina & Virginia, Inc." 921353 MHL-098-167 "Easter Seals UCP North Carolina & Virginia, Inc." 11-Aug-11 01-Jan-13 31-Dec-13 Type A 25-Jun-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Wilson County Group Home #4 1502 Pineview Avenue Wilson NC 27896 1502 Pineview Avenue Wilson NC 27896 Wilson (252)360-1810 Easter Seals UCP North Carolina & Virginia 921352 MHL-098-168 "Easter Seals UCP North Carolina & Virginia, Inc." 11-Aug-11 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Wilson County Group Home #3 1300 Gold Street Wilson NC 27893 1300 Gold Street Wilson NC 27893 Wilson (252)360-1810 "Easter Seals UCP North Carolina & Virginia, Inc." 921350 MHL-098-169 "Easter Seals UCP North Carolina & Virginia, Inc." 11-Aug-11 01-Jan-13 31-Dec-13 Type B 22-Jun-12 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Wilson County Group Home #1 308 Bragg Street Wilson NC 27893 308 Bragg Street Wilson NC 27893 Wilson (252)360-1810 "Easter Seals UCP North Carolina & Virginia, Inc." 921351 MHL-098-170 "Easter Seals UCP North Carolina & Virginia, Inc." 11-Aug-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Wilson County Group Home #2 3108 Tilghman Road Wilson NC 27896 3108 Tilghman Road Wilson NC 27896 Wilson (252)360-1810 "Easter Seals UCP North Carolina & Virginia, Inc." 070620 MHL-092-821 "Easter Seals UCP North Carolina & Virginia, Inc." 11-Aug-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Old Buffaloe Road "5171 Glenwood Ave., Ste. 400" Raleigh NC 27612 3406 Old Buffaloe Road Raleigh NC 27604 Wake (919)873-1817 "Easter Seals UCP North Carolina & Virginia, Inc." 010653 MHL-092-822 "Easter Seals UCP North Carolina & Virginia, Inc." 11-Aug-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Havering Place "5171 Glenwood Ave., Ste. 400" Raleigh NC 27612 2304 Havering Place Raleigh NC 27604 Wake (919)855-9214 "Easter Seals UCP North Carolina & Virginia, inc." 921801 MHL-036-068 "Easter Seals UCP North Carolina & Virginia, Inc." 01-Jan-05 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Elizabeth Group Home 1015 Elizabeth Dr. Dallas NC 28034 1015 Elizabeth Drive Dallas NC 28034 Gaston (704)854-4893 Easter Seals UCP North Carolina 120163 MHL-065-223 "Easter Seals UCP North Carolina & Virginia, Inc." 19-Jan-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Spring View Group Home 4601 Spring View Drive Wilmington NC 28405 4601 Spring View Drive Wilmington NC 28405 New Hanover (910)313-6653 "Easter Seals UCP North Carolina & Virginia, Inc." 955401 MHL-041-603 "Easter Seals UCP North Carolina and Virginia, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type B 19-Jan-10 - - 6 27G.5600C Supervised Living DD Adult A NONAMB2 RESIDENTL Easter Seals UCP NC Greensboro Group Home 4809 Hilltop Road Greensboro NC 27407 4809 Hilltop Road Greensboro NC 27407 Guilford (336)294-2621 "Easter Seals UCP North Carolina, Inc." 970792 MHL-060-386 "Easter Seals UCP North Carolina and Virginia, Inc." 27-May-97 01-Jan-13 31-Dec-13 - - - - 2 27G.5100 Community Respite Services C MR/DD RESIDENTL Daphne Shropshire Home "10150 Mallard Creek Road, Suite 510" Charlotte NC 28262 3448 Covington Oaks Charlotte NC 28205 Mecklenburg (704)531-4420 P. Smith 970792 MHL-060-386 "Easter Seals UCP North Carolina and Virginia, Inc." 27-May-97 01-Jan-13 31-Dec-13 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C&A MR/DD RESIDENTL Daphne Shropshire Home "10150 Mallard Creek Road, Suite 510" Charlotte NC 28262 3448 Covington Oaks Charlotte NC 28205 Mecklenburg (704)531-4420 P. Smith 120436 MHL-032-578 "Easter Seals UCP North Carolina and Virginia, Inc." 08-Jul-09 01-Jan-13 31-Dec-13 - - - - 4 27G.5100 Community Respite Services A MD RESIDENTL NC START Central Respite Home 5171 Glenwood Avenue Ste 400 Raleigh NC 27612 3817 Cheek Road Durham NC 27704 Durham (919)908-9052 Easter Seals UCP North Carolina 020924 MHL-060-1067 "Echelon Consulting, Inc." 01-Oct-08 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Echelon 5 7209J East WT Harris Blvd. Ste. 207 Charlotte NC 28216 1535 Peachtree Road Charlotte NC 28216 Mecklenburg (704)391-1925 "Echelon Consulting, Inc." 010846 MHL-060-1066 "Echelon Consulting, Inc." 01-Oct-01 01-Jan-13 31-Dec-13 Type B 01-Jun-11 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Echelon 4 7209J East WT Harris Blvd. Ste. 207 Charlotte NC 28227 6135 Elgywood Lane Charlotte NC 28213 Mecklenburg (704)599-0813 "Echelon Consulting, Inc." 120295 MHL-060-1042 "Echelon Consulting, Inc." 11-Jan-08 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Echelon 3 "8520 Cliff Cameron Drive, Suite 460" Charlotte NC 28269 6107 Lock Arbor Lane Mint Hill NC 28227 Mecklenburg (704)545-5980 "Echelon Consulting, Inc." 021123 MHL-034-169 "Ed-Core, Inc." 28-Mar-03 01-Jan-13 31-Dec-13 - - - - 5 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Triad Homes-NC PO Box 130 Walkertown NC 27051 5016 Sunny Lane Walkertown NC 27051 Forsyth (336)744-5671 Triad Homes 956347 MHL-092-444 EduCare Community Living Corporation - North Carolina 24-Jan-01 01-Jan-13 31-Dec-13 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Goshawk Lane 1305 Navaho Dr. Ste 103 Raleigh NC 27609 2022 Fordgates Drive Garner NC 27529 Wake (919)779-3270 EduCare Community Living Corp.-NC 061106 MHL-060-245 EduCare Community Living Corporation-North Carolina 27-Jan-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Browne Group Home "834 Tyvola Road, Suite 112" Charlotte NC 28217 8205 Browne Road Charlotte NC 28269 Mecklenburg (704)405-1509 EduCare Community Living Corp.-North Carolina 030150 MHL-064-057 Educare Community Living Corporation - North Carolina 19-Jan-01 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL South Rocky Mount Home 805 Tiffany Blvd. Rocky Mount NC 27804 3192 Gypsy Trail Rocky Mount NC 27803 Nash (252)446-1965 Michele Cherry 921504 MHL-092-057 Educare Community Living Corporation - North Carolina 01-May-88 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Blanche Drive 1200 Navaho Drive Raleigh NC 27609 6208 Blanche Drive Raleigh NC 27607 Wake (919)859-1450 Community Alternatives-NC 921735 MHL-092-022 Educare Community Living Corporation - North Carolina 01-Apr-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Dartmouth Road Group Home 1200 Navaho Drive Raleigh NC 27609 210 Dartmouth Road Raleigh NC 27606 Wake (919)782-2895 Educare Community Living Corp 921876 MHL-092-044 Educare Community Living Corporation - North Carolina 01-Feb-89 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Forest Creek Group Home 1200 Navaho Drive Raleigh NC 27609 5117 Forest Creek Drive Raleigh NC 27606 Wake (919)833-1371 EduCare Community Living Corp.-NC 921907 MHL-092-041 Educare Community Living Corporation - North Carolina 01-Aug-87 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Georgia Court 1200 Navaho Drive Raleigh NC 27609 107 Miss Georgia Court Cary NC 27511 Wake (919)467-2857 Educare Community Living Corp. 921963 MHL-092-107 Educare Community Living Corporation - North Carolina 01-Aug-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF Helmsdale Group Home 1200 Navaho Drive Raleigh NC 27609 1317 Helmsdale Drive Cary NC 27511 Wake (919)468-6044 EduCare Community Alternatives-NC 922502 MHL-092-045 Educare Community Living Corporation - North Carolina 01-Sep-87 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Rolling Meadows 1200 Navaho Dr Raleigh NC 27609 2533 Rolling Meadows Drive Raleigh NC 27603 Wake (919)662-0047 Edu-Care Community Living Corp. 925240 MHL-060-236 Educare Community Living Corporation - North Carolina 31-Oct-94 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Leaves 834 Tyvola Road Suite 112 Charlotte NC 28217 7106 Leaves Lane Charlotte NC 28213 Mecklenburg (704)598-9932 ResCare Community Alternatives of NC 945043 MHL-060-224 Educare Community Living Corporation - North Carolina 28-Jul-94 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Heathcroft 834 Tyvola Rd Suite 112 Charlotte NC 28217 3046 Heathcroft Court Charlotte NC 28269 Mecklenburg (704)593-0674 ResCare Community Alternatives of NC 952399 MHL-060-125 Educare Community Living Corporation - North Carolina 01-Feb-91 01-Jan-13 31-Dec-13 Type B 12-Dec-07 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Starnes Group Home "830 Tyvola Road, Suite 104" Charlotte NC 28217 2823 Starnes Road Charlotte NC 28214 Mecklenburg (704)399-0018 Rescare-Community Alternatives 955748 MHL-092-137 Educare Community Living Corporation - North Carolina 19-Oct-93 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Stonegate 1200 Navaho Drive Raleigh NC 27609 8609 Stonegate Drive Raleigh NC 27615 Wake (919)847-8628 Community Alternatives - NC 955749 MHL-092-138 Educare Community Living Corporation - North Carolina 01-Dec-93 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB2 RESIDENTL ICF Rockwood 1200 Navaho Drive Raleigh NC 27609 4409 Rockwood Drive Raleigh NC 27612 Wake (919)571-0230 EduCare Community Living Corp.-NC 960628 MHL-092-242 Educare Community Living Corporation - North Carolina 26-Aug-96 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kennon Drive Home "1305 Navaho Drive, Suite 103" Raleigh NC 27609 1514 Kennon Drive Garner NC 27529 Wake (919)773-9360 970227 MHL-092-261 Educare Community Living Corporation - North Carolina 19-Feb-97 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Huntleigh 1200 Navaho Drive Raleigh NC 27609 3300 Huntleigh Drive Raleigh NC 27604 Wake (919)876-3834 Community Alternatives-NC 970285 MHL-092-266 Educare Community Living Corporation - North Carolina 07-Mar-97 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Vesta Drive "1305 Navaho Drive, Suite 103" Raleigh NC 27609 3906 Vesta Drive Garner NC 27529 Wake (919)772-1459 EduCare Community Living Corp 970357 MHL-092-269 Educare Community Living Corporation - North Carolina 24-Mar-97 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Buck Jones Road Home "1305 Navaho Drive, Suite 103" Raleigh NC 27609 225 Buck Jones Road Raleigh NC 27606 Wake (919)851-4597 Community Alternatives-NC 080102 MHL-023-150 Educare Community Living Corporation - North Carolina 15-Nov-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Wooding Place Group Home "301 Tenth Street NW, Suite B101" Conover NC 28613 112 Wooding Place Kings Mountain NC 28086 Cleveland (704)730-8194 Community Alternatives North Carolina 030548 MHL-092-743 Educare Community Living Corporation - North Carolina 01-May-09 01-Jan-13 31-Dec-13 Type B 01-Jul-10 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Crestview "1305 Navaho Drive, Suite 103" Raleigh NC 27609 8612 Keegan Court Raleigh NC 27615 Wake (919)847-0121 090940 MHL-092-119 Educare Community Living Corporation - North Carolina 19-Mar-93 01-Jan-13 31-Dec-13 - - - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF Lockley Road 1200 Navaho Drive Raleigh NC 27609 4617 Lockley Road Holly Springs NC 27540 Wake (919)303-5665 Educare Community Living Corporation - NC 050335 MHL-096-163 "Edwar Group, LLC" 02-Dec-05 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Peele Street Group Home 102 W Patetown Road Goldsboro NC 27530 1301 Peele Street Goldsboro NC 27530 Wayne (919)288-1423 "Edwar Group, LLC" 080246 MHL-096-211 "Edwar Group, LLC" 18-Jul-08 01-Jan-13 31-Dec-13 Type B 09-Aug-12 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Fox Drive Group Home 102 W Patetown Road Goldsboro NC 27530 219 Fox Drive Dudley NC 28333 Wayne (919)735-4600 Edwar Group LLC 080245 MHL-096-212 "Edwar Group, LLC" 18-Jul-08 01-Jan-13 31-Dec-13 Type A 13-Feb-13 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Belfast Group Home 102 W Patetown Road Goldsboro NC 27530 3163 North US Highway 117 Goldsboro NC 27534 Wayne (919)288-1440 Edwar Group LLC 100982 MHL-096-234 "Edwar Group, LLC" 05-Oct-10 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY The Learning Place 102 W Patetown Road Goldsboro NC 27530 1138 Tommy's Road Goldsboro NC 27530 Wayne (919)330-4215 "Edwar Group, LLC" 101167 MHL-054-153 "Edwar Group, LLC" 03-Feb-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Beston Road Group Home 102 W Patetown Road Goldsboro NC 27530 2310 Beston Road LaGrange NC 28551 Lenoir (919)330-4345 "Edwar Group, LLC" 110328 MHL-096-243 "Edwar Group, LLC" 20-Sep-11 01-Jan-13 31-Dec-13 Type B 29-Nov-12 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Emmaus Road Group Home 102 W Patetown Road Goldsboro NC 27530 1202 Emmaus Church Road Dudley NC 28333 Wayne (919)988-9127 "Edwar Group, LLC" 070185 MHL-042-005 Edward's Assessments and Counseling 01-Jun-85 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Edwards' Assessments and Counseling PO Box 475 Jackson NC 27845 321 Highway 125 Roanoke Rapids NC 27870 Halifax (252)535-1070 Elizabeth P. Edwards 040514 MHL-040-026 "Edward's Group Home III, Inc." 25-Jun-04 01-Jan-13 31-Dec-13 Type B 28-Jun-11 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Edwards Group Home #3 PO Box 295 Snow Hill NC 28580 1233 Apple Tree Road Stantonsburg NC 27883 Greene (252)238-2000 "Edward's Group Home III, Inc." 960656 MHL-033-033 "Edwards Enterprises of Rocky Mount, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type B 28-Feb-11 - - 8 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Edwards Residential Care PO Box 1812 Rocky Mount NC 27802 1852 Old Wilson Road Rocky Mount NC 27801 Edgecombe (252)442-4248 Edwards Enterprises of Rocky Mount 050498 MHL-040-027 "Edwards Group Home IV, Inc." 08-Jul-05 01-Jan-13 31-Dec-13 Type A 05-Jul-11 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Edwards Group Home #4 PO Box 295 Snow Hill NC 28580 1269 Appletree Road Stantonsburg NC 27883 Greene (252)238-2000 "Edwards Group Home IV, Inc." 000156 MHL-040-015 "Edwards Group Home, Inc." 19-May-00 01-Jan-13 31-Dec-13 Summary Suspension 01-Oct-08 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Edwards Group Home PO Box 295 Snow Hill NC 28580 306 West Greene Street Snow Hill NC 28580 Greene (252)747-4000 Edwards Group Home 000156 MHL-040-015 "Edwards Group Home, Inc." 19-May-00 01-Jan-13 31-Dec-13 Summary Suspension 01-Oct-08 - - 1 27G.5100 Community Respite Services A MD RESIDENTL Edwards Group Home PO Box 295 Snow Hill NC 28580 306 West Greene Street Snow Hill NC 28580 Greene (252)747-4000 Edwards Group Home 981017 MHL-011-169 "Eliada Homes, Inc." 02-Nov-98 01-Jan-13 31-Dec-13 - - - - 9 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Reynolds Cottage PO Box 16708 Asheville NC 28816 2 Compton Drive Asheville NC 28806 Buncombe (828)210-0221 "Eliada Homes, Inc." 991117 MHL-011-204 "Eliada Homes, Inc." 07-Nov-00 01-Jan-13 31-Dec-13 - - - - 9 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Cummings Cottage PO Box 16708 Asheville NC 28816 2 Compton Drive Asheville NC 28806 Buncombe (828)210-0205 "Eliada Homes, Inc." 991118 MHL-011-203 "Eliada Homes, Inc." 07-Nov-00 01-Jan-13 31-Dec-13 - - - - 9 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Reuter Cottage PO Box 16708 Asheville NC 28816 2 Compton Drive Asheville NC 28806 Buncombe (828)210-0207 "Eliada Homes, Inc." 001575 MHL-011-261 "Eliada Homes, Inc." 01-Jul-05 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL AMB DAY Eliada Academy PO Box 16708 Asheville NC 28816 2 Compton Drive Asheville NC 28806 Buncombe (828)254-5356 "Eliada Homes, Inc." 991076 MHL-011-262 "Eliada Homes, Inc." 01-Jul-05 01-Jan-13 31-Dec-13 - - - - 9 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Lions Cottage PO Box 16708 Asheville NC 28816 2 Compton Drive Asheville NC 28806 Buncombe (828)210-0206 "Eliada Homes, Inc." 080381 MHL-011-301 "Eliada Homes, Inc." 17-Nov-08 01-Jan-13 31-Dec-13 - - - - 6 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Earle Cottage PO Box 16708 Asheville NC 28816 2 Compton Drive Asheville NC 28806 Buncombe (828)259-5372 "Eliada Homes, Inc." 100223 MHL-033-078 Elite Care Inc. 16-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Elite Care, Inc." 3836 Abby Lynn Drive Greenville NC 27858 410 Main Street Tarboro NC 27886 Edgecombe (252)824-3007 Elite Care Inc. 100223 MHL-033-078 Elite Care Inc. 16-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Elite Care, Inc." 3836 Abby Lynn Drive Greenville NC 27858 410 Main Street Tarboro NC 27886 Edgecombe (252)824-3007 Elite Care Inc. 100179 MHL-096-248 Elite Care Inc. 30-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Elite Care Inc. 3836 Abby Lynn Drive Greenville NC 27858 715 Simmons Street Goldsboro NC 27530 Wayne (919)734-0483 070812 MHL-026-857 "Elite Care Service, Inc." 21-Jul-08 01-Jan-13 31-Dec-13 Type A 22-Jun-09 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Elite Care Service at Middle Rd. PO Box 9525 Fayetteville NC 28311 711 Middle Road Fayetteville NC 28312 Cumberland (910)488-0324 "Elite Care Services, Inc." 110085 MHL-026-897 "Elite Care Service, Inc." 15-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Elite Care Service Inc. SAIOP Program PO Box 9525 Fayetteville NC 28311 "111 Lamon Street, Suite 110" Fayetteville NC 28301 Cumberland (910)483-0324 "Elite Care Service, Inc." 110085 MHL-026-897 "Elite Care Service, Inc." 15-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Elite Care Service Inc. SAIOP Program PO Box 9525 Fayetteville NC 28311 "111 Lamon Street, Suite 110" Fayetteville NC 28301 Cumberland (910)483-0324 "Elite Care Service, Inc." 020899 MHL-084-047 "Elite Care Services, Inc." 25-Feb-03 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lincoln St. Group Home 2000-D West Main Street Albemarle NC 28001 206 Lincoln Street Badin NC 28009 Stanly (704)422-3486 040548 MHL-084-056 "Elite Care Services, Inc." 22-Jul-04 01-Jan-13 31-Dec-13 Type A 20-Dec-12 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lowder Reunion Group Home 2000- D West Main St Albemarle NC 28001 33973 Lowder Reunion Road Albemarle NC 28001 Stanly (704)983-3402 080117 MHL-084-067 "Elite Care Services, Inc." 11-Jul-08 01-Jan-13 31-Dec-13 Type A 24-Nov-08 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL New London Group Home 2000-DWest Main Street Albemarle NC 28001 40163 Highway 740 New London NC 28127 Stanly (704)422-3888 Elite Care Inc. 090749 MHL-084-075 "Elite Care Services, Inc." 22-Apr-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Moss Lane I 2000-D West Main Street Albemarle NC 28001 42424 Moss Lane New London NC 28127 Stanly (704)422-4033 "Elite Care, Inc." 110096 MHL-084-080 "Elite Care Services, Inc." 17-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY Enlightening Experiences 2000-D West Main Street Albemarle NC 28001 2000-A West Main Street Albemarle NC 28001 Stanly (704)986-4118 "Elite Care, Inc." 110383 MHL-084-084 "Elite Care Services, Inc." 12-Dec-11 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Washington Lane 2000-D W. Main St. Albemarle NC 28001 572 Washington Lane Albemarle NC 28001 Stanly (704)986-2352 "Elite Care, Inc." 120100 MHL-036-279 "Elite Community Health, LLC" 25-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Elite Community Health SA Services "2212 Union Rd, Ste 700, PMB 507" Gastonia NC 28054 2721 X-Ray Drive Gastonia NC 28054 Gaston (704)864-9668 "Elite Community Health, LLC" 120100 MHL-036-279 "Elite Community Health, LLC" 25-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Elite Community Health SA Services "2212 Union Rd, Ste 700, PMB 507" Gastonia NC 28054 2721 X-Ray Drive Gastonia NC 28054 Gaston (704)864-9668 "Elite Community Health, LLC" 100863 MHL-054-164 Elizabeth M. Smith 31-Jan-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL With A Purpose Family Care 6257 Roberts Dr. LaGrange NC 28551 2204 Lovick Road Dover NC 28526 Lenoir (252)939-1660 Elizabeth M. Smith 040197 MHL-026-830 Ella Mae Alford 29-Nov-06 01-Jan-13 31-Dec-13 Type B Imposed 03-Jul-08 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Mother's Love Group Home 3210 Vardaman Ave Hope Mills NC 28348 2926 Peacock Street Hope Mills NC 28348 Cumberland (910)425-4148 Ella Mae Alford 922134 MHL-034-048 "Ellen E. Elliott, LCAS, CCS" 06-Aug-91 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Lifeskills Counseling Center-Winston Salem 9 West 3rd Street Lexington NC 27292 1001 S Marshall Street-Ste. 260 Winston Salem NC 27101 Forsyth (336)631-8904 LifeSkills Counseling Center 990942 MHL-029-084 "Ellen E. Elliott, LCAS, CCS" 01-Oct-98 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA ADOL&A SAS DAY LifeSkills Counseling Center 9 West 3rd Street Lexington NC 27292 9 West 3rd Street Lexington NC 27292 Davidson (336)224-0863 990942 MHL-029-084 "Ellen E. Elliott, LCAS, CCS" 01-Oct-98 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY LifeSkills Counseling Center 9 West 3rd Street Lexington NC 27292 9 West 3rd Street Lexington NC 27292 Davidson (336)224-0863 080363 MHL-092-801 Ellen Esliker 30-Nov-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL The Manor at Riverbrooke 1038 Stormy Lane Raleigh NC 27610 3120 Tuckland Drive Raleigh NC 27610 Wake (919)301-8525 Ellen Esliker 990576 MHL-092-369 Eloise M. Dowtin 25-Jun-99 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Dowtin's Therapeutic Home P.O. Box 26153 Raleigh NC 27611 3912 Willow Oak Road Raleigh NC 27604 Wake (919)349-5540 Eloise Dowtin 031070 MHL-092-579 Eloise M. Dowtin 16-Jan-04 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Emmanuel Home III PO Box 26153 Raleigh NC 27611 5212 Sweetbriar Drive Raleigh NC 27609 Wake (919)510-0146 Eloise M. Dowtin 060528 MHL-092-654 Eloise M. Dowtin 11-Oct-06 01-Jan-13 31-Dec-13 Type B 21-Nov-12 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL The Emmanuel Home IV PO Box 26153 Raleigh NC 27611 303 Aqua Marine Lane Knightdale NC 27611 Wake (919)261-8066 120214 MHL-032-584 Elspeth V. Walker and Joseph T. Walker 27-Feb-13 27-Feb-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Loving Arms Tender Touch (LATT) 1315-B Ripley Street Durham NC 27707 1315-B Ripley Street Durham NC 27707 Durham (919)489-5819 Elspeth Victoria Walker & Joseph T. Walker 000326 MHL-026-655 Elva Colvin 15-Jun-01 01-Jan-13 31-Dec-13 Type A 22-Oct-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Graceland Manor DDA #3 PO Box 35174 Fayetteville NC 28303 408 Pelt Drive Fayetteville NC 28301 Cumberland (910)630-1755 Elva Colvin 930448 MHL-026-654 Elva Colvin 15-Jun-01 01-Jan-13 31-Dec-13 Type A 22-Oct-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Graceland Manor DDA #1 PO Box 35174 Fayetteville NC 28303 600 Dowfield Drive Fayetteville NC 28301 Cumberland (910)630-1741 Elva Colvin 040916 MHL-034-190 Emma & John Garvin 08-Dec-04 01-Jan-13 31-Dec-13 Type B Imposed 26-Jun-09 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Garvins Mental Management 4527 Country Club Road Winston-Salem NC 27104 4527 Country Club Road Winston-Salem NC 27104 Forsyth (336)765-8460 Garvins Mental Management 080317 MHL-041-913 "Emmanuel Ministries International, Inc." 04-Jun-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Homes of Emmanuel PO Box 1713 Jamestown NC 27282 1005 Brushy Fork Drive Greensboro NC 27406 Guilford (336)617-6510 "Emmanuel Ministries International, Inc." 944876 MHL-026-013 "Employment Source, Inc." 15-Oct-86 01-Jan-13 31-Dec-13 - - - - 0 27G.5500 Sheltered Workshops A MD DAY Service Source 600 Ames Street Fayetteville NC 28301 600 Ames Street Fayetteville NC 28301 Cumberland (910)826-4699 "Employment Source, Inc." 944876 MHL-026-013 "Employment Source, Inc." 15-Oct-86 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A NONE DAY Service Source 600 Ames Street Fayetteville NC 28301 600 Ames Street Fayetteville NC 28301 Cumberland (910)826-4699 "Employment Source, Inc." 100690 MHL-060-1176 "Empowerment Quality Care Services, LLC" 30-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Empowerment Quality Care Services 416 McCullough Drive Suite 100 Charlotte NC 28262 "416 McCullough Drive, Ste.100 & 105" Charlotte NC 28262 Mecklenburg (704)717-7477 Empowerment Quality Care Services LLC 100690 MHL-060-1176 "Empowerment Quality Care Services, LLC" 30-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Empowerment Quality Care Services 416 McCullough Drive Suite 100 Charlotte NC 28262 "416 McCullough Drive, Ste.100 & 105" Charlotte NC 28262 Mecklenburg (704)717-7477 Empowerment Quality Care Services LLC 030820 MHL-032-568 "Enhancement Health Care, Inc." 09-Dec-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Enhancement Health Care "3326 Guess Rd., Ste. 205" Durham NC 27705 917 Lancaster Street Durham NC 27705 Durham (919)416-4940 "Enhancement Health Care, Inc." 030739 MHL-041-699 "Envisions of Life, LLC" 03-Nov-03 01-Jan-13 31-Dec-13 Type A 18-Jan-12 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Envisions of Life Gatwick House "307 S. Swing Rd., Ste. 5" Greensboro NC 27409 4003 Gatwick Court Greensboro NC 27406 Guilford (336)697-5277 "Envisions of Life, LLC" 110566 MHL-060-1186 "Epiphany Family Services, LLC" 18-Oct-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A MI DAY Epiphany Family Services "4917 Albemarle Rd., Ste. 120" Charlotte NC 28205 "4917 Albemarle Rd., Ste. 120" Charlotte NC 28205 Mecklenburg (704)536-6853 "Epiphany Family Services, LLC" 110566 MHL-060-1186 "Epiphany Family Services, LLC" 18-Oct-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A MI DAY Epiphany Family Services "4917 Albemarle Rd., Ste. 120" Charlotte NC 28205 "4917 Albemarle Rd., Ste. 120" Charlotte NC 28205 Mecklenburg (704)536-6853 "Epiphany Family Services, LLC" 130020 MHL-034-279 "Epiphany Family Services, LLC" 25-Feb-11 27-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Epiphany SA Services "4917 Albemarle Rd., Ste. 120" Charlotte NC 28205 "8 West Third Street, Suite 100" Winston-Salem NC 27101 Forsyth (336)231-6653 "Epiphany Family Services, LLC" 130020 MHL-034-279 "Epiphany Family Services, LLC" 25-Feb-11 27-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Epiphany SA Services "4917 Albemarle Rd., Ste. 120" Charlotte NC 28205 "8 West Third Street, Suite 100" Winston-Salem NC 27101 Forsyth (336)231-6653 "Epiphany Family Services, LLC" 091022 MHL-041-971 "Essence of Care, Inc." 04-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Essence of Care, Inc." "1400 Battleground Ave., Ste 150-G" Greensboro NC 27408 "1400 Battleground Ave., Ste. 150-G" Greensboro NC 27408 Guilford (336)772-6942 "Essense of Care, Inc." 110038 MHL-041-1007 "Essence of Care, Inc." 22-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Essence of Care, Inc" PO Box 325 Greensboro NC 27402 "1400 Battleground Avenue, Suite 150-D" Greensboro NC 27408 Guilford (336)772-6942 "Essence of Care, Inc." 110038 MHL-041-1007 "Essence of Care, Inc." 22-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Essence of Care, Inc" PO Box 325 Greensboro NC 27402 "1400 Battleground Avenue, Suite 150-D" Greensboro NC 27408 Guilford (336)772-6942 "Essence of Care, Inc." 110037 MHL-034-282 "Essence of Care, Inc." 22-Apr-11 01-Jan-13 31-Dec-13 - - - - 6 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Boys of Essence "1400 Battleground Ave., Ste. 134-A" Greensboro NC 27408 1137 Pine Knolls Road Kernersville NC 27284 Forsyth (336)272-3095 "Essence of Care, Inc." 130094 MHL-051-207 "Essential Supportive Services, LLC" 10-Apr-13 10-Apr-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Essential Supportive Services, LLC" 1685 Old US Hwy 70 West Clayton NC 27520 1685 Old US Hwy 70 West Clayton NC 27520 Johnston (919)550-0639 130094 MHL-051-207 "Essential Supportive Services, LLC" 10-Apr-13 10-Apr-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Essential Supportive Services, LLC" 1685 Old US Hwy 70 West Clayton NC 27520 1685 Old US Hwy 70 West Clayton NC 27520 Johnston (919)550-0639 070576 MHL-092-705 "Etta's Residential Services and Supports, Inc." 29-Feb-08 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Etta's Residential Services & Supports, Inc." 4833 Tolley Court Raleigh NC 27616 4833 Tolley Court Raleigh NC 27616 Wake (919)803-8198 Leon Christopher Rogers 120286 MHL-039-056 Eunice Essien - Hart 28-Sep-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Idella's Home PO Box 804 Oxford NC 27565 4026 Shady Brook Drive Kittrell NC 27544 Granville (252)213-6081 Eunice Essien-Hart 070150 MHL-041-818 Eva Lewis Washington and Victor Reuben Washington 10-Apr-07 01-Jan-13 31-Dec-13 Type B 15-Apr-11 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Successful Transitions, LLC Residential Home Level III" 8300 Chartwell Drive Oak Ridge NC 27310 1458 London Drive High Point NC 27262 Guilford (336)889-7500 c/o Eva & Victor Washington 030610 MHL-093-040 Evelean Woodard 22-Apr-04 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL The Davis Home 112 Akins Lane Manson NC 27553 112 Akins Lane Manson NC 27553 Warren (252)456-2128 The Davis Home 020939 MHL-035-040 Evelyn W. Stone 25-Feb-03 01-Jan-13 31-Dec-13 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL E.W. Stone Adult Care Center 103 Sulley Court Knightdale NC 27545 563 Williams Road Spring Hope NC 27882 Franklin (919)375-4756 Evelyn W. Stone 040488 MHL-024-072 "Evergreen Behavioral Management, Inc." 15-May-08 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Evergreen Behavioral Management, Inc." PO Box 425 Whiteville NC 28472 1409 Pickney Street Whiteville NC 28472 Columbus (910)641-0600 040488 MHL-024-072 "Evergreen Behavioral Management, Inc." 15-May-08 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Evergreen Behavioral Management, Inc." PO Box 425 Whiteville NC 28472 1409 Pickney Street Whiteville NC 28472 Columbus (910)641-0600 040488 MHL-024-072 "Evergreen Behavioral Management, Inc." 15-May-08 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Evergreen Behavioral Management, Inc." PO Box 425 Whiteville NC 28472 1409 Pickney Street Whiteville NC 28472 Columbus (910)641-0600 080072 MHL-026-853 "Evergreen Behavioral Management, Inc." 16-May-08 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Evergreen Behavioral Management, Inc." PO Box 425 Whiteville NC 28472 4276 Legend Avenue Fayetteville NC 28303 Cumberland (910)485-6843 "Evergreen Behavioral Management, Inc." 080072 MHL-026-853 "Evergreen Behavioral Management, Inc." 16-May-08 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Evergreen Behavioral Management, Inc." PO Box 425 Whiteville NC 28472 4276 Legend Avenue Fayetteville NC 28303 Cumberland (910)485-6843 "Evergreen Behavioral Management, Inc." 080073 MHL-078-208 "Evergreen Behavioral Management, Inc." 15-May-08 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Evergreen Behavioral Management, Inc." PO Box 425 Whiteville NC 28472 220 G&H Wintergreen Drive Lumberton NC 28358 Robeson (910)738-9420 "Evergreen Behavioral Management, Inc." 080073 MHL-078-208 "Evergreen Behavioral Management, Inc." 15-May-08 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Evergreen Behavioral Management, Inc." PO Box 425 Whiteville NC 28472 220 G&H Wintergreen Drive Lumberton NC 28358 Robeson (910)738-9420 "Evergreen Behavioral Management, Inc." 080070 MHL-065-197 "Evergreen Behavioral Management, Inc." 16-May-08 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Evergreen Behavioral Management, Inc." PO Box 425 Whiteville NC 28472 "1911 South 17th Street, Suite 100" Wilmington NC 28403 New Hanover (910)791-9625 "Evergreen Behavioral Management, Inc." 080070 MHL-065-197 "Evergreen Behavioral Management, Inc." 16-May-08 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Evergreen Behavioral Management, Inc." PO Box 425 Whiteville NC 28472 "1911 South 17th Street, Suite 100" Wilmington NC 28403 New Hanover (910)791-9625 "Evergreen Behavioral Management, Inc." 080070 MHL-065-197 "Evergreen Behavioral Management, Inc." 16-May-08 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Evergreen Behavioral Management, Inc." PO Box 425 Whiteville NC 28472 "1911 South 17th Street, Suite 100" Wilmington NC 28403 New Hanover (910)791-9625 "Evergreen Behavioral Management, Inc." 090563 MHL-078-233 "Evergreen Behavioral Management, Inc." 26-Aug-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Evergreen Behavioral Management, Inc." PO Box 425 Whiteville NC 28472 "220 Wintergreen Drive, Suite G" Lumberton NC 28358 Robeson (910)738-9400 "Evergreen Behavioral Management, Inc." 100487 MHL-026-898 "Evergreen Behavioral Management, Inc." 12-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Evergreen Behavioral Management, Inc." PO Box 425 Whiteville NC 28472 "4276 Legend Avenue, Zone B" Fayetteville NC 28303 Cumberland (910)867-0035 090368 MHL-083-057 "Evergreen Behavioral Management, Inc." 15-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment ADOL MI DAY "Evergreen Behavioral Management, Inc." PO Box 425 Whiteville NC 28472 416 Fairley Street - Suite B Laurinburg NC 28352 Scotland (910)276-8545 "Evergreen Behavioral Management, Inc." 110058 MHL-041-1006 "Exceptional Family Support, LLC" 18-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY Exceptional Family Support Day Program 7325 W. Friendly Avenue Suite D-2 Greensboro NC 27410 2300 West Friendly Avenue Greensboro NC 27410 Guilford (336)299-9643 "Exceptional Family Support, LLC" 130007 MHL-026-852 ExtendedReach DayTreatment for Children&Adolescents LLC 22-Apr-08 14-Feb-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Extended Reach Day Treatment 3909 Barclay Way Wade NC 28395 919 Ramsey Street Fayetteville NC 28301 Cumberland (910)484-0095 Extended Reach Day Trtmt for Children & Adol LLC 130007 MHL-026-852 ExtendedReach DayTreatment for Children&Adolescents LLC 22-Apr-08 14-Feb-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL SAS DAY Extended Reach Day Treatment 3909 Barclay Way Wade NC 28395 919 Ramsey Street Fayetteville NC 28301 Cumberland (910)484-0095 Extended Reach Day Trtmt for Children & Adol LLC 080723 MHL-092-761 Ezekiel Wilson 01-Feb-10 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Creech Road Supervised Care PO Box 27991 Raleigh NC 27611 808 Creech Road Garner NC 27529 Wake (919)961-1392 Ezekiel Wilson 020051 MHL-067-133 "FACT Specialized Services, LLC" 05-Feb-02 01-Jan-13 31-Dec-13 Type B 06-Sep-11 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Silverleaf Lodge 127 Center Street Jacksonville NC 28546 109 Silverleaf Drive Jacksonville NC 28546 Onslow (910)353-1903 "FACT Specialized Services, Inc." 942332 MHL-067-140 "FACT Specialized Services, LLC" 01-May-02 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY FACT Day Treatment Program 127 Center Street Jacksonville NC 28546 127 Center Street Jacksonville NC 28546 Onslow (910)346-3744 030741 MHL-067-101 "FACT Specialized Services, LLC" 06-Dec-99 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Shadowridge Retreat 127 Center Street Jacksonville NC 28546 107 Silverleaf Drive Jacksonville NC 28546 Onslow (910)577-4568 FACT Specialized Svcs Inc. 991019 MHL-011-264 "FIRST at Blue Ridge, Inc." 25-Oct-05 01-Jan-13 31-Dec-13 - - - - 85 27G.4300 Supervised Therapeutic Community A SAS RESIDENTL FIRST at Blue Ridge P.O. Box 40 Ridgecrest NC 28770 32 Knox Road Ridgecrest NC 28770 Buncombe (828)669-0011 FIRST at Blue Ridge 090450 MHL-011-339 "FIRST at Blue Ridge, Inc." 18-Oct-11 01-Jan-13 31-Dec-13 - - - - 65 27G.4300 Supervised Therapeutic Community C&A SAS RESIDENTL Women and Children FIRST PO Box 40 Ridgecrest NC 28770 12 Tupper Road Ridgecrest NC 28770 Buncombe (828)669-0011 "FIRST at Blue Ridge, Inc." 921422 MHL-059-018 "FOCUS Behavioral Health Services, LLC" 27-Apr-01 01-Jan-13 31-Dec-13 - - - - 8 27G.1700 Residential Treatment Level III C&ADOL MI DAY The Landing P.O. Box 3624 Morganton NC 28680-3624 2533 Airport Road Marion NC 28752-3007 McDowell (828)659-2500 921550 MHL-014-006 "FOCUS Behavioral Health Services, LLC" 01-Jun-87 01-Jan-13 31-Dec-13 - - - - 8 27G.1700 Residential Treatment Level III C&ADOL MR/DD DAY&RESL Burkwell PO Box 3624 Morganton NC 28680-3624 3476 Morganton Boulevard Lenoir NC 28645 Caldwell (828)758-6109 "FOCUS Behavioral Health Services, LLC" 110901 MHL-012-108 "FOCUS Behavioral Health Services, LLC" 05-Dec-06 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Hand In Hand Burke County Day Treatment PO Box 3624 Morganton NC 28680-3624 501 East Concord Street Morganton NC 28655 Burke (828)439-2604 "FOCUS Behavioral Health Services, LLC" 110660 MHL-032-523 "Faith Homes & Habilitation, LLC" 10-Jan-12 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Faith Homes & Habilitation, LLC" 5316 Cumberland Plain Dr. Raleigh NC 27616 2711 Fayetteville Street Durham NC 27707 Durham (919)401-5781 120612 MHL-083-058 "Faith In Families, Inc." 23-Jan-13 23-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MD DAY "Faith In Families, Inc." "232 Gilmer St., Ste. 206" Reidsville NC 27320 "17160 Plant Road, Rear Building" Laurinburg NC 28352 Scotland (910)506-9343 090790 MHL-058-042 "Faith Works Community Services, Inc." 21-Jan-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Faith Works Community Services, Inc." PO BOX 1133 Williamston NC 27892 "223 Washington Street, Suite 2" Williamston NC 27892 Martin (252)799-3000 Faith Works Community Services Inc. 090790 MHL-058-042 "Faith Works Community Services, Inc." 21-Jan-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Faith Works Community Services, Inc." PO BOX 1133 Williamston NC 27892 "223 Washington Street, Suite 2" Williamston NC 27892 Martin (252)799-3000 Faith Works Community Services Inc. 090790 MHL-058-042 "Faith Works Community Services, Inc." 21-Jan-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Faith Works Community Services, Inc." PO BOX 1133 Williamston NC 27892 "223 Washington Street, Suite 2" Williamston NC 27892 Martin (252)799-3000 Faith Works Community Services Inc. 930657 MHL-001-103 Falcon Crest Residential Care Inc. 26-Nov-02 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Falcon Crest Residential Care 3 Inc. P.O. Box 1670 Mebane NC 27302 3309-A Hwy. 49 Burlington NC 27217 Alamance (336)578-5701 031054 MHL-001-141 Falcon Crest Residential Care Inc. 13-Oct-06 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Falcon Crest Residential Care 2 PO Box 1670 Mebane NC 27302 2094 Haith Fuller Trail Mebane NC 27302 Alamance (336)436-0278 Falcon Crest Residential Care 2 Inc 070799 MHL-066-016 "Family Advantage, LLC" 10-Apr-08 01-Jan-13 31-Dec-13 Type A 14-Nov-08 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Family Advantage LLC 289 Wade Road Scotland Neck NC 27874 3104 Highway 301 North Pleasant Hill NC 27866 Northampton (252)536-0600 Willie Gilchrist 100731 MHL-070-047 "Family Advantage, LLC" 22-Jul-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Family Advantage, LLC" 289 Wade Road Scotland Neck NC 27874 111 McMorrine Street (Suites 113 & 115) Elizabeth City NC 27909 Pasquotank (252)326-0090 "Family Advantage, LLC" 100731 MHL-070-047 "Family Advantage, LLC" 22-Jul-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Family Advantage, LLC" 289 Wade Road Scotland Neck NC 27874 111 McMorrine Street (Suites 113 & 115) Elizabeth City NC 27909 Pasquotank (252)326-0090 "Family Advantage, LLC" 110969 MHL-060-1154 "Family Care Services, LLC" 01-Mar-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Family Care Services-SAIOP "416 McCullough Dr., Ste. 125" Charlotte NC 28269 "416 McCullough Drive, Suite 125" Charlotte NC 28269 Mecklenburg (704)717-4331 "Family Care Services, LLC" 100497 MHL-053-063 "Family Connexions, LLC" 28-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment ADOL MI DAY "Family ConneXions, PLLC" 329 Carthage Street Sanford NC 27330 329 Carthage Street Sanford NC 27330 Lee (919)718-1355 "Family ConneXions, LLC" 100497 MHL-053-063 "Family Connexions, LLC" 28-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Family ConneXions, PLLC" 329 Carthage Street Sanford NC 27330 329 Carthage Street Sanford NC 27330 Lee (919)718-1355 "Family ConneXions, LLC" 100497 MHL-053-063 "Family Connexions, LLC" 28-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Family ConneXions, PLLC" 329 Carthage Street Sanford NC 27330 329 Carthage Street Sanford NC 27330 Lee (919)718-1355 "Family ConneXions, LLC" 060378 MHL-041-782 "Family Empowerment, LLC" 22-May-06 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity NONE NONE DAY Max and Friends Day Program 1121 Montpelier Drive Greensboro NC 27410 410 Holden Road Greensboro NC 27410 Guilford (336)329-8114 101095 MHL-041-1008 "Family Empowerment, LLC" 22-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Max & Friends at College Place United Methodist Church 1121 Montpelier Drive Greensboro NC 27410 509 S. Tate Street Greensboro NC 27403 Guilford (336)329-8114 "Family Empowerment, LLC" 120450 MHL-041-1067 "Family Empowerment, LLC" 14-Dec-12 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Waller Home 5502 Jason Road Greensboro NC 27405 5502 Jason Road Greensboro NC 27405 Guilford (336)954-9482 "Family Empowerment, LLC" 100353 MHL-060-1160 "Family First Community Services, LLC" 17-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Family First Community Services, LLC" 3705 Latrobe Drive Suite 340 Charlotte NC 28211 3705 Latrobe Drive Suite 340 Charlotte NC 28211 Mecklenburg (704)364-3989 Attn: Michiko Dowdy 070885 MHL-096-185 "Family First Support Center, Inc." 16-Nov-06 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Family First Support Center 103 Halston Place Pikeville NC 27863-8483 110 SW Center Street Mt. Olive NC 28365-2124 Wayne (919)635-3344 Howard Calhoun 070885 MHL-096-185 "Family First Support Center, Inc." 16-Nov-06 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL&A MI DAY Family First Support Center 103 Halston Place Pikeville NC 27863-8483 110 SW Center Street Mt. Olive NC 28365-2124 Wayne (919)635-3344 Howard Calhoun 080799 MHL-082-088 "Family First Support Center, Inc." 04-Aug-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Family First Support Center 103 Halston Place Pikeville NC 27863-8483 707 College Street Clinton NC 28328-3503 Sampson (910)592-4507 "Family First Support Center, Inc." 100323 MHL-060-1175 "Family Innovations, LLC" 31-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Family Innovations 715 East 5th Street Suite 212 Charlotte NC 28202 "715 East 5th Street, Suite 212" Charlotte NC 28202 Mecklenburg (704)371-3050 100323 MHL-060-1175 "Family Innovations, LLC" 31-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Family Innovations 715 East 5th Street Suite 212 Charlotte NC 28202 "715 East 5th Street, Suite 212" Charlotte NC 28202 Mecklenburg (704)371-3050 100323 MHL-060-1175 "Family Innovations, LLC" 31-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization C&ADOL&A MI DAY Family Innovations 715 East 5th Street Suite 212 Charlotte NC 28202 "715 East 5th Street, Suite 212" Charlotte NC 28202 Mecklenburg (704)371-3050 120115 MHL-092-754 "Family Legacy Mental Health Services, Inc." 20-Nov-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Family Legacy Mental Health Services, Inc." "3200 Spring Forest Road, Suite 214" Raleigh NC 27616 "3200 Spring Forest Road, Suite 214" Raleigh NC 27616 Wake (919)834-2000 "Family Legacy Mental Health Services, Inc." 130106 MHL-001-229 "Family Legacy Mental Health Services, Inc." 02-Apr-13 02-Apr-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Family Legacy Mental Health Services, Inc." "3200 Spring Forest Rd., Ste. 214" Raleigh NC 27616 1205 Maple Avenue Burlington NC 27215 Alamance (336)514-9493 "Family Legacy Mental Health Services, Inc." 130027 MHL-092-834 "Family Preservation Services of NC, Inc." 01-Mar-12 29-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Family Preservation Services of NC, Inc.-Wake House" "4601 Park Rd, Ste 400" Charlotte NC 28110 "3824 Barrett Drive, Suite 200" Raleigh NC 27609 Wake (919)850-3480 "Family Preservation Services of NC, Inc." 110405 MHL-045-105 "Family Preservation Services of North Carolina , Inc." 13-Jul-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY FPS-GR-Hendersonville Middle School 1430 Asheville Hwy Hendersonville NC 28791 825 North Whitted Street Hendersonville NC 28791 Henderson (704)344-0491 "Family Preservation Services of NC, Inc." 090960 MHL-045-091 "Family Preservation Services of North Carolina, Inc." 17-Dec-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY FPS-GR-Edneyville 1430 Asheville Highway Hendersonville NC 28791 2875 Pace Road Hendersonville NC 28792 Henderson (828)685-7600 "Family Preservation Services of NC, Inc." 090961 MHL-045-092 "Family Preservation Services of North Carolina, Inc." 17-Dec-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY FPS-GR-Fletcher 1430 Asheville Highway Hendersonville NC 28791 500 Howard Gap Road Fletcher NC 28732 Henderson (828)684-0580 "Family Preservation Services of NC, Inc." 090962 MHL-045-093 "Family Preservation Services of North Carolina, Inc." 17-Dec-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY FPS-GR-Dana 1430 Asheville Highway Hendersonville NC 28791 690 Ridge Road Dana NC 28724 Henderson (382)685-7743 "Family Preservation Services of NC, Inc." 090959 MHL-045-094 "Family Preservation Services of North Carolina, Inc." 17-Dec-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY FPS-GR-Rugby 1430 Asheville Highway Hendersonville NC 28791 3345 Haywood Road Hendersonville NC 28791 Henderson (828)891-6566 "Family Preservation Services of NC, Inc." 100138 MHL-011-319 "Family Preservation Services of North Carolina, Inc." 04-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Asheville Middle School Day Treatment 4601 Park Road Suite 400 Charlotte NC 28809 197 South French Broad Avenue Asheville NC 28801 Buncombe (828)350-6200 "Family Preservation Services of NC, Inc." 050871 MHL-011-317 "Family Preservation Services of North Carolina, Inc." 01-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Mountain House "4601 Park Road, Suite 300" Charlotte NC 28209 1314-F Patton Avenue Asheville NC 28806 Buncombe (828)258-9655 Miranda Little 100987 MHL-081-068 "Family Preservation Services of North Carolina, Inc." 01-Nov-06 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Magnolia House "4601 Park Road, Suite 400" Charlotte NC 28209 363 Railroad Avenue Rutherfordton NC 28139 Rutherford (828)288-2707 Miranda Little 101106 MHL-045-097 "Family Preservation Services of North Carolina, Inc." 08-Dec-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Family Preservation Services of NC - Sugarloaf 1430 Asheville Highway Hendersonville NC 28791 2270 Sugarloaf Road Hendersonville NC 28792 Henderson (828)697-4600 110404 MHL-045-104 "Family Preservation Services of North Carolina, Inc." 13-Jul-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY FPS-GR-Flat Rock Middle School 1430 Asheville Hwy. Hendersonville NC 28791 191 Preston Lane East Flat Rock NC 28726 Henderson (828)697-4775 "Family Preservation Services of NC, Inc." 110475 MHL-035-057 "Family Preservation Services of North Carolina, Inc." 18-Aug-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Family Preservation Svs of NC, Inc.-Franklinton Elm Sch" 941-I West Andrews Avenue Henderson NC 27536 431 South Hillsborough Street Franklinton NC 27525 Franklin (919)494-2479 "Family Preservation Services of NC, Inc." 110473 MHL-035-058 "Family Preservation Services of North Carolina, Inc." 18-Aug-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Family Preservation Svs of NC, Inc-Louisburg Elementary" 941-I West Andrews Avenue Henderson NC 27536 50 Stone Southerland Road Louisburg NC 27549 Franklin (919)496-3676 "Family Preservation Services of NC, Inc." 110476 MHL-035-059 "Family Preservation Services of North Carolina, Inc." 18-Aug-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Family Preservation Svs. of NC, Inc. - Long Mill Elem." "4601 Park Road, Suite 400" Charlotte NC 28209 1753 Long Mill Road Youngsville NC 27596 Franklin (919)554-0667 "Family Preservation of NC, Inc." 110474 MHL-035-060 "Family Preservation Services of North Carolina, Inc." 18-Aug-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Family Preservation Svs of NC, Inc-Terrell Lane Middle" 941-I West Andrews Avenue Henderson NC 27536 101 Terrell Lane Louisburg NC 27549 Franklin (919)496-1855 "Family Preservation Services of NC, Inc." 110991 MHL-035-061 "Family Preservation Services of North Carolina, Inc." 15-Feb-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL&A MD DAY "Family Preservation Svs of NC, Inc-Franklinton High Sch" 4601 Park Road Suite 300 Charlotte NC 28209 910 Cedar Creek Road Franklinton NC 27525 Franklin (919)494-2332 "Family Preservation Services of NC, Inc." 080068 MHL-060-1247 "Family Preservation Services of North Carolina, Inc." 01-Sep-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Family Preservation Services of NC-Carolina House "4601 Park Road, Suite 400" Charlotte NC 28209 "2210 North Tryon Street, Suite A" Charlotte NC 28206 Mecklenburg (704)334-0491 000417 MHL-060-584 "Family Support Services, Inc." 28-Jun-00 01-Jan-13 31-Dec-13 Type B 06-Jul-11 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Farmgate PO Box 18574 Charlotte NC 28218 7533 Farmgate Charlotte NC 28213 Mecklenburg (704)531-8328 980903 MHL-060-488 "Family Support Services, Inc." 01-Oct-98 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL FSS-Woodthrush P.O. Box 18574 CHARLOTTE NC 28215 6123 Woodthrush Charlotte NC 28227 Mecklenburg (704)531-6857 990842 MHL-060-551 "Family Support Services, Inc." 25-Aug-99 01-Jan-13 31-Dec-13 Type B 11-Sep-08 - - 1 27G.5100 Community Respite Services A MD DAYRESL FSS/Woodthrush II Home PO Box 18574 Charlotte NC 28218 6716 Woodthrush Charlotte NC 28227 Mecklenburg (704)531-6857 Family Support Services 990842 MHL-060-551 "Family Support Services, Inc." 25-Aug-99 01-Jan-13 31-Dec-13 Type B 11-Sep-08 - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL FSS/Woodthrush II Home PO Box 18574 Charlotte NC 28218 6716 Woodthrush Charlotte NC 28227 Mecklenburg (704)531-6857 Family Support Services 021011 MHL-060-896 "Family Support Services, Inc." 24-Apr-03 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Linda Lake Home PO Box 18574 Charlotte NC 28218 7609 Linda Lake Drive Charlotte NC 28213 Mecklenburg (704)563-3909 Family Support Services 030970 MHL-060-934 "Family Support Services, Inc." 12-Mar-04 08-Apr-13 31-Dec-13 Type A 15-Feb-13 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Family Support Svcs/Banfshire Drive PO Box 18574 Charlotte NC 28218-0574 5009 Banfshire Drive Charlotte NC 28215 Mecklenburg (704)563-2478 "Family Support Services, Inc." 050167 MHL-060-965 "Family Support Services, Inc." 15-Jul-05 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL F.S.S. Farmpond PO Box 18574 Charlotte NC 27218 4806 Farm Pond Lane Charlotte NC 28212 Mecklenburg (704)536-7739 "Family Support Services, Inc." 110790 MHL-060-1234 "Family Support Services, Inc." 20-Dec-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Carnbrook Place PO Box 18574 Charlotte NC 28218 4825 Carnbrook Place Charlotte NC 28212 Mecklenburg (908)613-8983 "Family Support Services, Inc." 060154 MHL-092-718 "Favour Homes, Inc." 23-Jul-08 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Favour Home #1 313 Dickens Drive Raleigh NC 27610 202 Lindell Drive Apex NC 27502 Wake (919)362-8353 Helen Kalu 110317 MHL-092-820 "Favour Homes, Inc." 04-Aug-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Favour Home 2 313 Dickens Drive Raleigh NC 27610 3825 Cashew Drive Raleigh NC 27616 Wake (919)266-0853 "Favour Homes, Inc." 030089 MHL-092-535 Felicia N. Onuorah 13-May-03 01-Jan-13 31-Dec-13 Type B 07-Sep-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Blessed Home, Inc." 3113 Edgetone Drive Raleigh NC 27604 3113 Edgetone Drive Raleigh NC 27604 Wake (919)850-2336 Blessed Home Inc. 040613 MHL-092-607 Felicia N. Onuorah 28-Jul-04 01-Jan-13 31-Dec-13 Type B 26-Jan-12 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Blessed Home II, Inc." 3113 Edgetone Drive Raleigh NC 27604 7005 Brecken Ridge Avenue Raleigh NC 27615 Wake (919)329-2677 041462 MHL-092-688 Felicia N. Onuorah 10-Jul-07 01-Jan-13 31-Dec-13 Suspension of Admission 17-Jan-13 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Blessed Home III, Inc." 3113 Edgetone Drive Raleigh NC 27604 1120 Hardimont Road Raleigh NC 27609 Wake (919)850-4334 "Blessed Home III, Inc." 110809 MHL-041-1031 "Fellowship Hall, Inc." 03-Nov-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Hazel's House at Fellowship Hall PO Box 13890 Greensboro NC 27415 4300 Hicone Road Greensboro NC 27405 Guilford (336)621-3381 "Fellowship Hall, Inc." 110811 MHL-041-1032 "Fellowship Hall, Inc." 03-Nov-11 01-Jan-13 31-Dec-13 - - - - 7 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Zander's Place at Fellowship Hall PO Box 13890 Greensboro NC 27415 4308 Hicone Road Greensboro NC 27405 Guilford (336)621-3381 "Fellowship Hall, Inc." 080514 MHL-092-684 "Fellowship Health Resources, Inc." 29-May-07 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Cary Satellite House 5509 Creedmoor Road Raleigh NC 27612 222 East Chatham Street Cary NC 27511 Wake (919)469-4980 "Fellowship Health Resources, Inc." 080514 MHL-092-684 "Fellowship Health Resources, Inc." 29-May-07 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Cary Satellite House 5509 Creedmoor Road Raleigh NC 27612 222 East Chatham Street Cary NC 27511 Wake (919)469-4980 "Fellowship Health Resources, Inc." 110200 MHL-092-683 "Fellowship Health Resources, Inc." 29-May-07 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Building Foundations 5509 Creedmoor Road Raleigh NC 27612 5509 Creedmoor Road Raleigh NC 27612 Wake (919)573-6520 "Fellowship Health Resources, Inc." 110200 MHL-092-683 "Fellowship Health Resources, Inc." 29-May-07 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Building Foundations 5509 Creedmoor Road Raleigh NC 27612 5509 Creedmoor Road Raleigh NC 27612 Wake (919)573-6520 "Fellowship Health Resources, Inc." 120098 MHL-092-838 "Fernandez Community Services, LLC" 02-Mar-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Fernandez Community Services, LLC" 3700 Lyckon Parkway Suite A&B Durham NC 27707 "312 West Millbrook Road, Suite 121" Raleigh NC 27609 Wake (919)926-7503 100247 MHL-032-526 "Fidelity Counseling Support Group, Inc." 31-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Fidelity Community Support Group, Inc." "2327 Englert Drive, Suite 205" Durham NC 27713 "2327 Englert Drive, Suite 205" Durham NC 27713 Durham (919)806-0009 "Fidelity Community Support Group, Inc." 080079 MHL-091-097 "Firm Foundations Health Services, Inc." 03-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "Firm Foundations Health Services, Inc." PO Box 2120 Henderson NC 27536-2120 109 North Garnett Street Henderson NC 27536 Vance (252)433-0300 080079 MHL-091-097 "Firm Foundations Health Services, Inc." 03-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Firm Foundations Health Services, Inc." PO Box 2120 Henderson NC 27536-2120 109 North Garnett Street Henderson NC 27536 Vance (252)433-0300 120409 MHL-073-063 "Firm Foundations Health Services, Inc." 01-Oct-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Firm Foundations Health Services, Inc." PO Box 2120 Henderson NC 27536 210 North Main Street Roxboro NC 27573 Person (336)330-1270 920430 MHL-013-169 "First & Second Chance Adult Care Services, Inc." 05-Mar-12 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL LIM'S 401 Jackson Park Road Kannapolis NC 28083 401 Jackson Park Road Kannapolis NC 28081 Cabarrus (704)933-6133 "First & Second Chance Adult Care Services, Inc." 110463 MHL-013-170 "First & Second Chance Adult Care Services, Inc." 08-Jun-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Rose of Sharon 1185 Dale Earnhardt Blvd Kannapolis NC 28083 1185 Dale Earnhardt Boulevard Kannapolis NC 28081 Cabarrus (704)938-8689 "First & Second Chance Adult Care Services, Inc." 120056 MHL-091-096 First Choice Therapeutic Services Inc. 28-Jun-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY First Choice Therapeutic Services PO Box 61413 Raleigh NC 27661 601 South Williams Street Henderson NC 27536 Vance (252)572-2725 120057 MHL-092-848 First Choice Therapeutic Services Inc. 28-Jun-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY First Therapeutic Services PO Box 61413 Raleigh NC 27661 129 Highway 70 West Garner NC 27529 Wake (919)747-9878 120057 MHL-092-848 First Choice Therapeutic Services Inc. 28-Jun-12 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY First Therapeutic Services PO Box 61413 Raleigh NC 27661 129 Highway 70 West Garner NC 27529 Wake (919)747-9878 040515 MHL-041-728 "First Genesis Group Home, Inc." 26-Jul-04 01-Jan-13 31-Dec-13 Type B 04-Apr-13 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL First Genesis Group Home 1903 Delmar Drive Greensboro NC 27406-6113 1903 Delmar Drive Greensboro NC 27406 Guilford (336)274-4447 "Jan Chambers, Exec. Dir." 070357 MHL-041-837 "First Genesis Group Home, Inc." 03-Aug-07 01-Jan-13 31-Dec-13 Type B 23-Jun-09 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Bisbee Place Group Home 4309 Penton Place Greensboro NC 27455 4821 Bisbee Drive Greensboro NC 27407 Guilford (336)292-1555 "First Genesis Group Home, Inc." 990068 MHL-078-111 "First Image, Inc." 19-Jan-99 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Grace Court 3750 Meadow View Road Apt. A-1 Lumberton NC 28358 3750 Meadow View Road Apt. A-1 Lumberton NC 28358 Robeson (910)618-9912 990068 MHL-078-111 "First Image, Inc." 19-Jan-99 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Grace Court 3750 Meadow View Road Apt. A-1 Lumberton NC 28358 3750 Meadow View Road Apt. A-1 Lumberton NC 28358 Robeson (910)618-9912 090542 MHL-078-229 "First Image, Inc." 16-Jul-09 01-Jan-13 31-Dec-13 - - - - 8 27G.4100 Therapeutic Homes for Individuals With SA Disorders And A SAS RESIDENTL First Image Inc. Grace Court 3750 Meadowview Rd. Apt A-1 Lumberton NC 28358 3750 meadowview Rd. Bldg. F1 Lumberton NC 28358 Robeson (910)618-9912 "First Image, Inc." 921843 MHL-080-027 "First Step Counseling, Inc." 01-Nov-91 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA ADOL&A SAS DAY First Step Counseling P.O. Box 4213 Salisbury NC 28145 100 East Innes Street-Ste. #2 Salisbury NC 28144 Rowan (704)639-9400 921844 MHL-011-003 "First Step Farm of Western N.C., Inc." 01-Apr-77 01-Jan-13 31-Dec-13 - - - - 22 27G.5600E Supervised Living SA Adult A SAS RESIDENTL First Step Farm-Men P.O. Box 1450 Candler NC 28715 215 Black Oak Cove Road Bldg. #5 Candler NC 28715 Buncombe (828)665-5604 944829 MHL-011-080 "First Step Farm of Western N.C., Inc." 08-Jul-93 01-Jan-13 31-Dec-13 - - - - 15 27G.5600E Supervised Living SA Adult A SAS RESIDENTL First Step Farm-Women P.O. Box 1450 Candler NC 28715 "200 Pete Luther Cove Road., PO Box 1450" Candler NC 28715 Buncombe (828)667-0303 030861 MHL-092-495 "First Step Services, LLC" 19-Apr-02 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "First Step Services, LLC" 211 Six Forks Rd Ste 117 Bldg B Raleigh NC 27609 211 Six Forks Rd Ste 117 Bldg B Raleigh NC 27609 Wake (919)833-8899 030861 MHL-092-495 "First Step Services, LLC" 19-Apr-02 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "First Step Services, LLC" 211 Six Forks Rd Ste 117 Bldg B Raleigh NC 27609 211 Six Forks Rd Ste 117 Bldg B Raleigh NC 27609 Wake (919)833-8899 030861 MHL-092-495 "First Step Services, LLC" 19-Apr-02 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "First Step Services, LLC" 211 Six Forks Rd Ste 117 Bldg B Raleigh NC 27609 211 Six Forks Rd Ste 117 Bldg B Raleigh NC 27609 Wake (919)833-8899 050725 MHL-092-572 "First Step Services, LLC" 17-Dec-03 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA NONE SAS DAY 1st Step Substance Abuse & DWI Services 211 Six Forks Road Suite 117 Raleigh NC 27609 136 Highway 70 East Suite 201 Garner NC 27529 Wake (919)329-9400 First Step Services 050725 MHL-092-572 "First Step Services, LLC" 17-Dec-03 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY 1st Step Substance Abuse & DWI Services 211 Six Forks Road Suite 117 Raleigh NC 27609 136 Highway 70 East Suite 201 Garner NC 27529 Wake (919)329-9400 First Step Services 050725 MHL-092-572 "First Step Services, LLC" 17-Dec-03 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY 1st Step Substance Abuse & DWI Services 211 Six Forks Road Suite 117 Raleigh NC 27609 136 Highway 70 East Suite 201 Garner NC 27529 Wake (919)329-9400 First Step Services 070355 MHL-032-384 "First Step Services, LLC" 30-Oct-06 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&A MI DAY "First Step Services, LLC" "3329 Chapel Hill Blvd., Suite 201" Durham NC 27707 "3329 Chapel Hill Blvd., Suite 201" Durham NC 27707 Durham (919)419-0229 070355 MHL-032-384 "First Step Services, LLC" 30-Oct-06 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&A MI DAY "First Step Services, LLC" "3329 Chapel Hill Blvd., Suite 201" Durham NC 27707 "3329 Chapel Hill Blvd., Suite 201" Durham NC 27707 Durham (919)419-0229 070355 MHL-032-384 "First Step Services, LLC" 30-Oct-06 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA C&A MI DAY "First Step Services, LLC" "3329 Chapel Hill Blvd., Suite 201" Durham NC 27707 "3329 Chapel Hill Blvd., Suite 201" Durham NC 27707 Durham (919)419-0229 050067 MHL-095-028 "First Things First, Inc." 01-Mar-99 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY First Things First "820 State Farm Road, Ste E" Boone NC 28607 "820 State Farm Road, Ste E" Boone NC 28607 Watauga (828)262-3382 Paul Rauscher 050067 MHL-095-028 "First Things First, Inc." 01-Mar-99 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY First Things First "820 State Farm Road, Ste E" Boone NC 28607 "820 State Farm Road, Ste E" Boone NC 28607 Watauga (828)262-3382 Paul Rauscher 090015 MHL-092-742 Floyd Meeks 07-Apr-09 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY L.I.F.T. Day Activity Center PO Box 1383 Wendell NC 27591 701 East Young Street Rolesville NC 27571 Wake (919)569-9566 Floyd Meeks 090015 MHL-092-742 Floyd Meeks 07-Apr-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY L.I.F.T. Day Activity Center PO Box 1383 Wendell NC 27591 701 East Young Street Rolesville NC 27571 Wake (919)569-9566 Floyd Meeks 110111 MHL-041-1011 "Flying Start Creative Expressions, Inc." 01-Apr-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Flying Start Creative Expressions, Inc." 1204 Sternly Way High Point NC 27260 1204 Sternly Way High Point NC 27260 Guilford (336)307-3551 921853 MHL-012-007 "Flynn Christian Fellowship Home of Burke County, Inc." 06-Mar-81 01-Jan-13 31-Dec-13 Type A 07-Apr-11 - - 9 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Flynn Christian Fellowship Home 721 West Union Street Morganton NC 28655 721 West Union Street Morganton NC 28655 Burke (828)437-9491 941856 MHL-096-244 "Flynn Christian Fellowship Houses of Goldsboro NC, Inc." 23-Nov-11 01-Jan-13 31-Dec-13 Type B Imposed 12-Mar-13 - - 8 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Flynn Christian Fellowship Home P.O. Box 10613 Goldsboro NC 27532 409 North George Street Goldsboro NC 27530 Wayne (919)736-1718 110534 MHL-014-079 "Focus Behavioral Health Services, LLC" 11-Aug-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Hand In Hand Caldwell Day Treatment PO Box 3624 Morganton NC 28680-3624 1048 Harper Avenue Lenoir NC 28645 Caldwell (828)754-0481 "Focus Behavioral Health Services, LLC" 111029 MHL-014-080 "Focus Behavioral Health Services, LLC" 01-Feb-12 01-Apr-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Hand In Hand Day Treatment PO Box 3624 Morganton NC 28680-3624 "143-145 Cedar Valley Road, Suites 1, 3 & 4" Hudson NC 28638 Caldwell (828)726-5282 "Focus Behavioral Health Services, LLC" 031226 MHL-036-224 "Focus Point, Inc." 05-May-04 01-Jan-13 31-Dec-13 Suspension of Admission 29-Sep-10 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Plyler Lake PO Box 19854 Charlotte NC 28219 1664 Plyler Lake Road Gastonia NC 28054 Gaston (704)865-9158 Focus Point Inc. 060831 MHL-023-139 "Focus Point, Inc." 23-Feb-07 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Mill Creek PO Box 19854 Charlotte NC 28219 129 Mill Creek Drive Kings Mountain NC 28086 Cleveland (704)865-9158 Focus Point Inc ( Kenyatte Waddell) 061020 MHL-010-057 "Focus, LLC" 08-Jun-07 01-Jan-13 31-Dec-13 Type A 01-Feb-08 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Trinity Home PO Box 2458 Leland NC 28451 1117 Old Fayetteville Road Leland NC 28451 Brunswick (910)371-1066 060794 MHL-059-031 Foothills Industries of McDowell County Inc. 22-Aug-06 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs NONE NONE DAY Foothills Industries 300 Rockwell Drive Marion NC 28752 300 Rockwell Drive Marion NC 28752 McDowell (828)652-4088 130040 MHL-041-979 "Foster's Care Facility, LLC" 26-Jul-10 05-Feb-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Foster's Care Facility LLC 131 W. Parris Avenue Highpoint NC 27262 131 W. Parris Avenue Highpoint NC 27262 Guilford (336)885-0602 130040 MHL-041-979 "Foster's Care Facility, LLC" 26-Jul-10 05-Feb-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Foster's Care Facility LLC 131 W. Parris Avenue Highpoint NC 27262 131 W. Parris Avenue Highpoint NC 27262 Guilford (336)885-0602 070876 MHL-034-226 "Foundation Strong, LLC" 12-Mar-08 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Foundation Strong, LLC" PO Box 77805 Greensboro NC 27417 1677 Banbridge Road Kernersville NC 27285 Forsyth (336)307-3198 Teresa DeBerry 060750 MHL-045-063 "Four Circles Recovery Center, LLC" 21-Aug-06 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA NONE NONE DAY Four Circles Recovery Center 156 Clear Crossing Lane Horse Shoe NC 28742 156 Clear Crossing Lane Horse Shoe NC 28742 Henderson (828)891-2221 060706 MHL-092-659 Frances Coleman 27-Oct-06 01-Jan-13 31-Dec-13 Type B Imposed 23-Dec-11 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Azalea Gardens Mental Health Facility 413 Culvert Street Apex NC 27502 413 Culvert Street Apex NC 27502 Wake (919)629-4027 Frances Coleman 090625 MHL-019-051 Frankie Baldwin 19-Nov-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Alston Bridge Group Home 316 Nash Baldwin Road Pittsboro NC 27312 1117 Alston Bridge Road Siler City NC 27344 Chatham (919)742-2133 Frankie A. Baldwin 010685 MHL-041-707 Frederick Hayes and Dianne Nowlin 23-Jan-04 01-Jan-13 31-Dec-13 Type B 11-Sep-06 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL A Brighter Tomorrow Group Home 2214 Atlanta Street Greensboro NC 27406 2214 Atlanta Street Greensboro NC 27406 Guilford (336)509-5559 921887 MHL-068-003 "Freedom House Recovery Center, Inc." 01-Jul-91 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Freedom House Recovery Center 104 New Stateside Drive Chapel Hill NC 27516 104 New Stateside Drive Chapel Hill NC 27516 Orange (919)942-2803 Freedom House Recovery Center Inc. 921887 MHL-068-003 "Freedom House Recovery Center, Inc." 01-Jul-91 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Freedom House Recovery Center 104 New Stateside Drive Chapel Hill NC 27516 104 New Stateside Drive Chapel Hill NC 27516 Orange (919)942-2803 Freedom House Recovery Center Inc. 921887 MHL-068-003 "Freedom House Recovery Center, Inc." 01-Jul-91 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Freedom House Recovery Center 104 New Stateside Drive Chapel Hill NC 27516 104 New Stateside Drive Chapel Hill NC 27516 Orange (919)942-2803 Freedom House Recovery Center Inc. 030857 MHL-032-312 "Freedom House Recovery Center, Inc." 18-Dec-03 01-Jan-13 31-Dec-13 - - - - 6 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Transitional Living House 104 New Stateside Drive Chapel Hill NC 27516 601 Carlton Street Durham NC 27701 Durham (919)425-5474 Freedom House Recovery Center 960828 MHL-032-335 "Freedom House Recovery Center, Inc." 13-Oct-04 01-Jan-13 31-Dec-13 Type A 30-Dec-08 - - 10 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Francis Street Women's Halfway House 104 New Stateside Drive Chapel Hill NC 27516 2404 Francis Street Durham NC 27707 Durham (919)425-5453 Freedom House Recovery Center 051317 MHL-068-116 "Freedom House Recovery Center, Inc." 10-Nov-05 01-Jan-13 31-Dec-13 - - - - 10 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Chapel Hill Men's Halfway House 104 New Stateside Drive Chapel Hill NC 27516 106 New Stateside Drive Chapel Hill NC 27516 Orange (919)942-2803 Freedom House Recovery Center 051319 MHL-068-117 "Freedom House Recovery Center, Inc." 10-Nov-05 01-Jan-13 31-Dec-13 - - - - 12 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Maggie Alvis Women's Halfway House 104 New Stateside Drive Chapel Hill NC 27516 114 New Stateside Drive Chapel Hill NC 27516 Orange (919)942-2803 Freedom House Recovery Center Inc 070041 MHL-068-118 "Freedom House Recovery Center, Inc." 10-Nov-05 01-Jan-13 31-Dec-13 Type B 10-Jan-11 - - 8 27G.5000 Facility Crisis Svcs. for all Disability Groups A MD RESIDENTL Facility Based Crisis Services 104 New Stateside Drive Chapel Hill NC 27516 110 New Stateside Drive Chapel Hill NC 27516 Orange (391)942-2803 Freedom House Recovery Center 070041 MHL-068-118 "Freedom House Recovery Center, Inc." 10-Nov-05 01-Jan-13 31-Dec-13 Type B 10-Jan-11 - - 8 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL Facility Based Crisis Services 104 New Stateside Drive Chapel Hill NC 27516 110 New Stateside Drive Chapel Hill NC 27516 Orange (391)942-2803 Freedom House Recovery Center 070041 MHL-068-118 "Freedom House Recovery Center, Inc." 10-Nov-05 01-Jan-13 31-Dec-13 Type B 10-Jan-11 - - 0 27G.3200 Social Setting Detoxification A SAS RESIDENTL Facility Based Crisis Services 104 New Stateside Drive Chapel Hill NC 27516 110 New Stateside Drive Chapel Hill NC 27516 Orange (391)942-2803 Freedom House Recovery Center 041258 MHL-032-367 "Freedom House Recovery Center, Inc." 26-Apr-06 01-Jan-13 31-Dec-13 - - - - 6 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Durham Men's Halfway House 104 New Stateside Drive Chapel Hill NC 27516 529 Holloway Street Durham NC 27701 Durham (919)425-5472 943380 MHL-032-375 "Freedom House Recovery Center, Inc." 16-Jun-06 01-Jan-13 31-Dec-13 Type B Imposed 05-Dec-07 - - 16 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL Durham Center Access 104 New Stateside Drive Chapel Hill NC 27516 309 Crutchfield St Durham NC 27704 Durham (919)560-7305 Freedom House Recovery Center 943380 MHL-032-375 "Freedom House Recovery Center, Inc." 16-Jun-06 01-Jan-13 31-Dec-13 Type B Imposed 05-Dec-07 - - 0 27G.5000 Facility Crisis Svcs. for all Disability Groups A SAS RESIDENTL Durham Center Access 104 New Stateside Drive Chapel Hill NC 27516 309 Crutchfield St Durham NC 27704 Durham (919)560-7305 Freedom House Recovery Center 943380 MHL-032-375 "Freedom House Recovery Center, Inc." 16-Jun-06 01-Jan-13 31-Dec-13 Type B Imposed 05-Dec-07 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Durham Center Access 104 New Stateside Drive Chapel Hill NC 27516 309 Crutchfield St Durham NC 27704 Durham (919)560-7305 Freedom House Recovery Center 943380 MHL-032-375 "Freedom House Recovery Center, Inc." 16-Jun-06 01-Jan-13 31-Dec-13 Type B Imposed 05-Dec-07 - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Durham Center Access 104 New Stateside Drive Chapel Hill NC 27516 309 Crutchfield St Durham NC 27704 Durham (919)560-7305 Freedom House Recovery Center 110276 MHL-093-058 "Freedom House Recovery Center, Inc." 25-Jan-12 01-Jan-13 31-Dec-13 - - - - 13 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Lake Area Counseling Halfway House 104 New Stateside Drive Chapel Hill NC 27516 519 Walker Street Norlina NC 27563 Warren (252)456-6541 "Freedom House Recovery Center, Inc." 110276 MHL-093-058 "Freedom House Recovery Center, Inc." 25-Jan-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Lake Area Counseling Halfway House 104 New Stateside Drive Chapel Hill NC 27516 519 Walker Street Norlina NC 27563 Warren (252)456-6541 "Freedom House Recovery Center, Inc." 050641 MHL-073-060 "Freedom House Recovery Center, Inc." 03-Feb-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Person Counseling Center of Freedom House 104 New Stateside Dr. Chapel Hill NC 27516 355 C-1 South Madison Boulevard Roxboro NC 27573 Person (336)599-8366 "Freedom House Recovery Center, Inc." 050641 MHL-073-060 "Freedom House Recovery Center, Inc." 03-Feb-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Person Counseling Center of Freedom House 104 New Stateside Dr. Chapel Hill NC 27516 355 C-1 South Madison Boulevard Roxboro NC 27573 Person (336)599-8366 "Freedom House Recovery Center, Inc." 060099 MHL-026-822 "Fresh Start Residential Facility, Inc." 31-Aug-06 01-Jan-13 31-Dec-13 Type B Imposed 17-Jul-12 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Fresh Start Residential Facility, Inc." 7866 Adrian Drive Fayetteville NC 28314 7866 Adrian Drive Fayetteville NC 28314 Cumberland (910)867-3591 090260 MHL-047-108 "Fresh Start Residential Facility, Inc." 04-Oct-07 01-Jan-13 31-Dec-13 - - - - 4 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL "Fresh Start Residential Facility, Inc. #2" 7866 Adrian Dr. Fayetteville NC 28314 123 Jefferson Drive Raeford NC 28376 Hoke (910)875-6919 010598 MHL-026-889 "Frest Start Residential Facility, Inc." 13-Apr-10 01-Jan-13 31-Dec-13 Type B 03-Jan-12 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Fresh Start Residential Facility, Inc. #3" 7866 Adrian Drive Fayetteville NC 28314 2639 Dumbarton Road Fayetteville NC 28306 Cumberland (910)426-0785 "Fresh Start Residential Facility, Inc. #3" 920852 MHL-078-207 "Future Innovations, LLC" 28-Mar-08 01-Jan-13 31-Dec-13 Type A 31-Jul-12 - - 12 27G.1800 Intensive Residential Treatment for Children Level IV C&ADOL MI RESIDENTL Future Innovations 4365 Hwy 49 Suite 500 # 205 Harrisburg NC 28075 13178 Hwy 130 East Fairmont NC 28340 Robeson (910)628-1334 Attn: David Curtis 930807 MHL-034-225 "G & D Quality Care, Inc." 22-Oct-07 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "G & D Quality Care, Inc." 910 Maplewood Court Winston-Salem NC 27103 910 Maplewood Court Winston-Salem NC 27103 Forsyth (336)659-0880 921401 MHL-084-017 GHA Autism Supports 01-Aug-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB2 RESIDENTL ICF A. Jack Wall Group Home PO Box 2487 Albemarle NC 28002 1213 Moss Springs Road Albemarle NC 28001 Stanly (704)983-6696 "GHA, Inc." 922182 MHL-084-008 GHA Autism Supports 01-Jul-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600B Supervised Living DD Minor C&ADOL NONAMB1 RESIDENTL ICF Marie G. Smith Group Home PO Box 2487 Albemarle NC 28002 1921 Palmetto Drive Albemarle NC 28001 Stanly (704)982-8065 922483 MHL-084-015 GHA Autism Supports 01-Sep-89 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL ICF Robert W. Thompson Group Home PO Box 2487 Albemarle NC 28002 1920 Woodhaven Drive Albemarle NC 28001 Stanly (704)982-9480 955629 MHL-084-022 GHA Autism Supports 01-Jun-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB2 RESIDENTL Gary Cowan Group Home PO Box 2487 Albemarle NC 28002 510 N. Fourth Street Albemarle NC 28001 Stanly (704)983-0999 955636 MHL-084-021 GHA Autism Supports 01-Jun-95 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY GHA Day Services PO Box 2487 Albemarle NC 28002 125 Charter Street Albemarle NC 28001 Stanly (704)982-9077 "GHA, Inc." 960650 MHL-084-029 GHA Autism Supports 14-Aug-96 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Durrett Home PO Box 2487 Albemarle NC 28002 824 Blake Road Albemarle NC 28001 Stanly (704)982-0682 970374 MHL-084-030 GHA Autism Supports 14-Mar-97 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Holbrook Home PO Box 2487 Albemarle NC 28002 112 Linwood Drive Albemarle NC 28001 Stanly (704)983-4806 010049 MHL-084-054 GHA Autism Supports 20-Jan-04 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Carolina Farms Group Home #1 PO Box 2487 Albemarle NC 28002 31719 Herb Farm Circle Albemarle NC 28001 Stanly (704)983-2059 "GHA, Inc." 030833 MHL-084-057 GHA Autism Supports 19-Aug-04 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Carolina Farms Group Home #2 PO Box 2487 Albemarle NC 28002 31713 Herb Farm Circle Albemarle NC 28001 Stanly (704)983-2569 "GHA, Inc." 041220 MHL-084-058 GHA Autism Supports 14-Sep-04 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Carolina Farms Potting Shed PO Box 2487 Albemarle NC 28002 31736 Herb Farm Circle Albemarle NC 28001 Stanly (704)983-2581 "GHA, Inc." 031013 MHL-084-061 GHA Autism Supports 05-Oct-05 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Carolina Farms Group Home #3 PO Box 2487 Albemarle NC 28002 31711 Herb Farm Circle Albemarle NC 28001 Stanly (704)983-2545 "GHA, Inc." 060762 MHL-084-064 GHA Autism Supports 15-Aug-06 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Starr Apartments A B C D PO Box 2487 Albemarle NC 28002 501 Heathwood Drive #2 Albemarle NC 28001 Stanly (704)986-6524 090227 MHL-084-073 GHA Autism Supports 22-Oct-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Martin Apartment PO Box 2487 Albemarle NC 28002 1519 East Main Street Albemarle NC 28001 Stanly (704)982-9600 "GHA, Inc." 090953 MHL-065-207 GHA Autism Supports 05-Mar-10 11-Apr-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Canterbury Woods "213 North Second St., PO BOX 2487" Albemarle NC 28002 1402 C Cameron Court Wilmington NC 28401 New Hanover (704)982-9600 "GHA, Inc." 110281 MHL-084-081 GHA Autism Supports 14-Jul-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "GHA, Inc. - The Hanks Home" PO Box 2487 Albemarle NC 28002 517 Lois Lane Albemarle NC 28001 Stanly (704)986-6671 "GHA, Inc." 110412 MHL-084-082 GHA Autism Supports 24-Aug-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Taylor Home PO Box 2487 Albemarle NC 28002 804 West Main Street Albemarle NC 28001 Stanly (704)982-9600 "GHA, Inc." 110410 MHL-084-083 GHA Autism Supports 17-Oct-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lowder Home PO Box 2487 Albemarle NC 28002 34230 Herlocker Road New London NC 28127 Stanly (704)463-7958 "GHA, Inc." 120095 MHL-084-079 GHA Autism Supports 15-Oct-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Doby Home PO Box 2487 Albemarle NC 28002 710 Hathcock Glen Drive Oakboro NC 28129 Stanly (704)485-2025 GHA Autism Supports 120307 MHL-084-066 GHA Autism Supports 01-Sep-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Schopler Home PO Box 2487 Albemarle NC 28002 24798 Ramsey Road Albemarle NC 28001 Stanly (704)983-7694 GHA Autism Supports 120307 MHL-084-066 GHA Autism Supports 01-Sep-12 01-Jan-13 31-Dec-13 - - - - 0 Schopler Home PO Box 2487 Albemarle NC 28002 24798 Ramsey Road Albemarle NC 28001 Stanly (704)983-7694 GHA Autism Supports 120425 MHL-084-070 GHA Autism Supports 07-Jul-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Morrell Home PO Box 2487 Albemarle NC 28002 1705 Trotters Ridge Road Stanfield NC 28163 Stanly (704)982-9600 "GHA Autism Supports, Inc." 120479 MHL-084-068 GHA Autism Supports 23-Oct-08 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Burress Home PO Box 2487 Albemarle NC 28002 20386 NC Highway 73 Albemarle NC 28001 Stanly (704)982-0314 GHA Autism Supports 120399 MHL-065-231 GHA Autism Supports 24-Jun-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL McGee - Hudson Home 6314 Welmont Drive Wilmington NC 28412 6314 Welmont Drive Wilmington NC 28412 New Hanover (910)399-5946 GHA Autim Supports 120397 MHL-065-232 GHA Autism Supports 24-Jun-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hollinger Home 610 Castine Way Wilmington NC 28412 610 Castine Way Wilmington NC 28412 New Hanover (910)399-5865 GHA Autism Supports 060858 MHL-060-949 "GIC of Charlotte, Inc." 16-Sep-04 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity NONE NONE DAY Prepared for Promotion 2137 B Avenue Charlotte NC 28216 "2137 B Avenue, Suite. A" Charlotte NC 28216 Mecklenburg (704)393-8206 070163 MHL-079-089 Gail 's Garden of Gold Corporation 12-Oct-07 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Eaves Estates 904 Irving Avenue Eden NC 27288 904 Irving Avenue Eden NC 27288 Rockingham (336)623-7016 Gail Brooklin Eaves 020077 MHL-079-105 Gails Garden of Gold Coporation 28-Aug-09 01-Jan-13 31-Dec-13 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Brooklin 914 Irving Avenue Eden NC 27288 914 Irving Avenue Eden NC 27288 Rockingham (336)612-2063 Gail's Garden of Gold Corporation 090462 MHL-036-274 "Gaston Adolescent Center, Inc." 27-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Gaston Adolescent Center, Inc." "635 Cox Road, Suite B" Gastonia NC 28054 "635 Cox Road, Suite B" Gastonia NC 28054 Gaston (704)691-7561 "Gaston Adolescent Center, Inc." 010111 MHL-036-174 "Gaston Residential Services, Inc." 22-Mar-01 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A NONAMB2 RESIDENTL Second Avenue 905-A North New Hope Road Gastonia NC 28054 510 West Second Avenue Gastonia NC 28052 Gaston (704)810-9998 Gaston Resd'l Svcs 921645 MHL-036-022 "Gaston Residential Services, Inc." 01-Aug-88 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Cherryville ICF/MR Group Home 905-A North New Hope Road Gastonia NC 28054 1102 Requa Road Cherryville NC 28021 Gaston (704)435-4608 Gaston Resd'l Svcs 922108 MHL-036-023 "Gaston Residential Services, Inc." 01-May-89 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Laurel Lane Group Home 905-A North New Hope Road Gastonia NC 28054 1047 Laurel Lane Gastonia NC 28054 Gaston (704)854-4825 Gaston Residential Services 922222 MHL-036-011 "Gaston Residential Services, Inc." 01-Feb-89 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A NONAMB2 RESIDENTL ICF Meek Road Group Home 905-A North New Hope Road Gastonia NC 28054 138 Meek Road Gastonia NC 28056 Gaston (704)853-2911 Gaston Resd'l Svcs 922919 MHL-036-049 "Gaston Residential Services, Inc." 01-Dec-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL York-Chester Group Home 905-A North New Hope Road Gastonia NC 28054 417 West 10th Avenue Gastonia NC 28052 Gaston (704)866-9242 Gaston Resd'l Svcs 931877 MHL-036-051 "Gaston Residential Services, Inc." 01-Mar-93 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Forestbrook Group Home 905-A North New Hope Road Gastonia NC 28054 1030 Forestbrook Drive Gastonia NC 28054 Gaston (704)867-7901 Gaston Resd'l Svcs 944458 MHL-036-060 "Gaston Residential Services, Inc." 05-Nov-93 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Gardner Park Group Home 905-A North New Hope Road Gastonia NC 28054 605 Rosemary Lane Gastonia NC 28054 Gaston (704)866-0437 Gaston Resd'l Svcs 970816 MHL-036-107 "Gaston Residential Services, Inc." 14-Jul-97 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Fairfield Drive Home 905-A North New Hope Road Gastonia NC 28054 1619 Fairfield Drive Gastonia NC 28052 Gaston (704)869-6111 "Gaston Residential Services, Inc." 050495 MHL-036-208 "Gaston Residential Services, Inc." 05-Sep-03 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL McFalls Home 905-A North New Hope Road Gastonia NC 28054 4604 Split Rail Court Gastonia NC 28056 Gaston (704)824-7955 Gaston Resdl Svcs Inc. 090003 MHL-036-239 "Gaston Residential Services, Inc." 08-Jun-06 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Fairview Home 905-A North New Hope Road Gastonia NC 28054 1009 Fairfield Drive Gastonia NC 28054 Gaston (704)861-9280 "Gaston Residential Services, Inc." 080545 MHL-036-244 "Gaston Residential Services, Inc." 11-Aug-06 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Haywood Allen Home 905A North New Hope Road Gastonia NC 28054 928 North New Hope Road Gastonia NC 28054 Gaston (704)917-0627 "Gaston Residential Services, Inc." 921886 MHL-036-046 "Gaston Residential Services- ICF/MR, Inc." 01-Dec-92 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Franklin Group Home 905-A North New Hope Road Gastonia NC 28054 1101 East Franklin Boulevard Gastonia NC 28054 Gaston (704)866-7084 Gaston Resd'l Svcs 945217 MHL-036-069 "Gaston Residential Services- ICF/MR, Inc." 17-Oct-94 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Springdale Lane Group Home 905-A North New Hope Road Gastonia NC 28054 934 Springdale Lane Gastonia NC 28052 Gaston (704)867-3473 Gaston Resd'l Svcs 951717 MHL-036-016 "Gaston Residential Services- ICF/MR, Inc." 01-Jul-87 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A NONAMB2 RESIDENTL ICF Belmont Group Home 905-A North New Hope Road Gastonia NC 28054 "PO Box 563 - Loop Road/ 205 Wimmer Cir.," Belmont NC 28012 Gaston (704)825-7422 Gaston Resd'l Svcs 922530 MHL-055-012 "Gaston Skills, Inc." 01-Jul-91 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Salem Industries 1301 Bessemer City Road Gastonia NC 28052 1636 Salem Church Road Lincolnton NC 28092 Lincoln (704)732-1516 922530 MHL-055-012 "Gaston Skills, Inc." 01-Jul-91 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A AMB DAY Salem Industries 1301 Bessemer City Road Gastonia NC 28052 1636 Salem Church Road Lincolnton NC 28092 Lincoln (704)732-1516 051136 MHL-036-243 "Gaston Skills, Inc." 18-Jul-06 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs NONE NONE DAY Gaston Skills 1301 Bessemer City Road Gastonia NC 28052 1301Bessemer City Road Gastonia NC 28052 Gaston (704)869-0300 JoAnn Raxter 051136 MHL-036-243 "Gaston Skills, Inc." 18-Jul-06 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Gaston Skills 1301 Bessemer City Road Gastonia NC 28052 1301Bessemer City Road Gastonia NC 28052 Gaston (704)869-0300 JoAnn Raxter 051136 MHL-036-243 "Gaston Skills, Inc." 18-Jul-06 01-Jan-13 31-Dec-13 - - - - 0 27G.5500 Sheltered Workshops A MD DAY Gaston Skills 1301 Bessemer City Road Gastonia NC 28052 1301Bessemer City Road Gastonia NC 28052 Gaston (704)869-0300 JoAnn Raxter 110565 MHL-036-294 "Gaston Skills, Inc." 26-Aug-11 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY Gaston Skills Day Activity 1301 Bessemer City Road Gastonia NC 28052 220 East Franklin Boulevard Gastonia NC 28052 Gaston (704)862-6811 "Gaston Skills, Inc." 944629 MHL-055-121 Gaylain's House of Hope 06-Nov-12 01-Jan-13 31-Dec-13 - - - - 8 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Gaylain's House of Hope 322 East McBee Street Lincolnton NC 28092 322 East McBee Street Lincolnton NC 28092 Lincoln (704)240-9453 110339 MHL-036-289 Genesis House 18-May-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Genesis House Academy 549 Cox Road Gastonia NC 28054 116 West Third Avenue Gastonia NC 28052 Gaston (704)852-3778 Genesis House 100324 MHL-060-1159 "Genesis Project 1, Inc." 18-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Genesis Recovery Services PO Box 560723 Charlotte NC 28256 5104 Reagan Drive Suite 5 Charlotte NC 28206 Mecklenburg (704)596-0505 090237 MHL-001-148 "Genesis Residential Care Center, LLC" 20-May-07 01-Jan-13 31-Dec-13 Type A 02-Jul-08 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Restorations PO Box 1966 Burlington NC 27216 2211 Rogers Street Burlington NC 27217 Alamance (336)227-2914 "Genesis Residential Care Center, LLC" 070906 MHL-080-170 "Genesis....A New Beginning, Inc." 25-Jul-07 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Genesis...A New Beginning 11 Union Street South Ste 212 Concord NC 28025 629 West Innes Street Salisbury NC 28144 Rowan (704)636-0838 Genesis...A New Beginning 000358 MHL-013-124 "Genesis...A New Beginning, Inc." 12-Aug-04 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Genesis...A New Beginning 11 Union Street Suite 212 Concord NC 28025 11 Union Street Suite 212 Concord NC 28025 Cabarrus (704)720-7770 Genesis...A New Beginning 100299 MHL-047-133 "Genesis: A New Beginning of Fayetteville, Inc" 09-Jun-10 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Ravenwood 2825 Arlington Avenue Fayetteville NC 28303 190 Bonney Lane Fayetteville NC 28306 Hoke (910)848-1332 "Genesis: A New Beginning of Fayetteville, Inc." 041326 MHL-026-814 "Genesis: A New Beginning of Fayetteville, Inc." 21-Dec-05 01-Jan-13 31-Dec-13 - - - - 4 27G.5600B Supervised Living DD Minor C MR/DD RESIDENTL "Genesis: A New Beginning of Fayetteville, Inc." 2825 Arlington Avenue Fayetteville NC 28303 6350 Hawfield Drive Fayetteville NC 28303 Cumberland (910)867-8995 Genesis: A New Beginning 010115 MHL-041-599 "Gentlehands of NC, Inc." 23-Jul-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Gentlehands Home 7 Wimbledon Lane Greensboro NC 27455 7 Wimbledon Lane Greensboro NC 27455 Guilford (336)282-2938 050048 MHL-041-772 "Gentlehands of NC, Inc." 30-Jan-06 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Gentlehands Adult Home 6005 White Chapel Way Greensboro NC 27455 6005 White Chapel Way Greensboro NC 27455 Guilford (336)282-2938 090283 MHL-041-774 "Gentlehands of NC, Inc." 07-Mar-06 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Gentlehands Day Program 7 Wimbledon Lane Greensboro NC 27455 1336 Lees Chapel Road Greensboro NC 27455 Guilford (336)282-2938 "Gentehands of N.C., Inc." 100095 MHL-041-961 "Gentlehands of NC, Inc." 27-Apr-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Gentlehands AFL Adult Home 7 Wimbledon Lane Greensboro NC 27455 7 Grace Chapel Court Greensboro NC 27405 Guilford (336)282-2938 "Gentlehands of North Carolina, Inc." 021273 MHL-041-922 George Satterfield 29-Jul-09 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Satterfield Home 4228 Studio Lane Greensboro NC 27407 4228 Studio Lane Greensboro NC 27407 Guilford (336)856-7250 George Satterfield 990094 MHL-035-020 Geraldine Harris-Holloway 07-Jan-99 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL St. Paul Residential Care 2165 Old US 64 Highway Spring Hope NC 27882 2165 Old US 64 Highway Spring Hope NC 27882 Franklin (252)478-3958 080888 MHL-098-145 Getting Ready Inc. 23-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Getting Ready Inc. 2303A Madison Drive Wilson NC 27893 2303 A Madison Drive Wilson NC 27893 Wilson (252)281-1718 Sharon H. Simpson 080888 MHL-098-145 Getting Ready Inc. 23-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Getting Ready Inc. 2303A Madison Drive Wilson NC 27893 2303 A Madison Drive Wilson NC 27893 Wilson (252)281-1718 Sharon H. Simpson 990630 MHL-092-758 "Gibson Homes, LLC" 04-Jan-10 01-Jan-13 31-Dec-13 Type A 23-Nov-10 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Gibson Homes, LLC" 101 North Peartree Lane Raleigh NC 27610 101 North Peartree Lane Raleigh NC 27610 Wake (919)800-0030 "Gibson Homes, LLC" 960783 MHL-092-248 Glenda Judd Evans-Walston 09-Oct-96 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Evans-Walston Home 808 Hawks View Court Fuquay-Varina NC 27526 808 Hawks View Court Fuquay-Varina NC 27526 Wake (919)552-1312 Evans-Walston Home 120196 MHL-032-576 Gloria Clemens 27-Jul-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Wilson House 1711 W. Lakewood Avenue Durham NC 27707 1711 West Lakewood Avenue Durham NC 27707 Durham (919)381-9760 Gloria Clemens 990286 MHL-041-930 "God's Harvest House of Deliverance Ministry, Inc." 19-Oct-09 01-Jan-13 31-Dec-13 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL GHH-Northridge Home PO Box 16064 Greensboro NC 27403 412 Northridge Street Greensboro NC 27401 Guilford (336)834-8284 GHH-Northridge Home Inc. 041320 MHL-041-754 Good Shepherd Family Care Home LLC 03-Aug-05 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Good Shepherd Family Care Home LLC 3592 Hancock Drive Greensboro NC 27410 2810 Fleming Road Greensboro NC 27410 Guilford (336)644-0752 Good Shepherd Family Care Home LLC 010672 MHL-011-215 "Goodwill Industries of Northwest North Carolina, Inc." 11-Jul-01 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Goodwill Ind. of NW NC, Inc./Ashville Emplymt&Trning Ct" 1616 Patton Avenue Asheville NC 28806 1616 Patton Avenue Asheville NC 28806 Buncombe (828)298-9023 050208 MHL-018-075 "Goodwill Industries of Northwest North Carolina, Inc." 21-Jun-05 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Goodwill Industries-Catawba Co Workforce Developm't Ctr 413 Thornburg Drive Conover NC 28613 413 Thornburg Drive Conover NC 28613 Catawba (828)465-0371 941914 MHL-060-016 "Goodwill Industries of the Southern Piedmont, Inc." 01-Oct-85 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Goodwill Industries of the Southern Piedmont, Inc." P.O. Box 668768 Charlotte NC 28266 2122 Freedom Drive Charlotte NC 28208-5154 Mecklenburg (704)372-3434 941914 MHL-060-016 "Goodwill Industries of the Southern Piedmont, Inc." 01-Oct-85 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Goodwill Industries of the Southern Piedmont, Inc." P.O. Box 668768 Charlotte NC 28266 2122 Freedom Drive Charlotte NC 28208-5154 Mecklenburg (704)372-3434 941914 MHL-060-016 "Goodwill Industries of the Southern Piedmont, Inc." 01-Oct-85 01-Jan-13 31-Dec-13 - - - - 0 27G.5500 Sheltered Workshops A MD DAY "Goodwill Industries of the Southern Piedmont, Inc." P.O. Box 668768 Charlotte NC 28266 2122 Freedom Drive Charlotte NC 28208-5154 Mecklenburg (704)372-3434 100678 MHL-026-904 "Graceland Manor and Associates, Inc." 28-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Graceland Manor and Associates, Inc." PO Box 35174 Fayetteville NC 28303 3421 H and I Murchison Road Fayetteville NC 28311 Cumberland (910)630-6300 920452 MHL-091-060 Graham Avenue Group Home. 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Graham Avenue Group Home PO Box 88 Henderson NC 27536 1642 Graham Avenue Henderson NC 27536 Vance (252)492-9545 Graham Ave Group Home 030505 MHL-096-138 Graham New Horizons Inc. 03-Nov-03 01-Jan-13 31-Dec-13 Type B 02-Mar-11 - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Graham New Horizons 1 100 W Pollock St. #4 Mount Olive NC 28365 108 Hillsboro Street Mount Olive NC 28365 Wayne (919)635-9216 Alice Graham 956211 MHL-006-009 "Grandfather Home for Children, Inc." 22-Sep-99 01-Jan-13 31-Dec-13 Type A 12-May-11 - - 36 27G.1700 Residential Treatment Level III C MI RESIDENTL Grandfather Home For Children P.O. Box 98 Banner Elk NC 28604-0098 158 Grandfather Home Drive Banner Elk NC 28604 Avery (828)898-5465 "Grandfather Home for Children, Inc." 070188 MHL-006-017 "Grandfather Home for Children, Inc." 11-Nov-10 01-Jan-13 31-Dec-13 - - - - 6 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MD RESIDENTL Grandfather Home for Children-Campbell Cottage PO Box 98 Banner Elk NC 28604 240 Grandfather Home for Children Drive Banner Elk NC 28604 Avery (828)898-5465 "Grandfather Home for Children, Inc." 100547 MHL-006-018 "Grandfather Home for Children, Inc." 29-Mar-11 01-Jan-13 31-Dec-13 - - - - 6 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Grandfather Home For Children - Hickory Cottage PO Box 98 Banner Elk NC 28604 240 Grandfather Home for Children Dr.-Bldg.#1 Banner Elk NC 28604 Avery (828)898-5465 "Grandfather Home for Children, Inc." 100548 MHL-006-019 "Grandfather Home for Children, Inc." 29-Mar-11 01-Jan-13 31-Dec-13 - - - - 6 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Grandfather Home for Children - Harris Cottage PO Box 98 Banner Elk NC 28604 240 Grandfather Home for Children Dr.-Bldg.#2 Banner Elk NC 28604 Avery (828)898-5465 "Grandfather Home for Children, Inc." 110033 MHL-067-194 "Greater Visions Healthcare Services, Inc." 29-Apr-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Greater Visions Relief Center 2436 Onslow Drive Jacksonville NC 28540 19 East Doris Avenue Jacksonville NC 28540 Onslow (910)346-1001 "Greater Visions Healthcare Services, Inc." 110033 MHL-067-194 "Greater Visions Healthcare Services, Inc." 29-Apr-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Greater Visions Relief Center 2436 Onslow Drive Jacksonville NC 28540 19 East Doris Avenue Jacksonville NC 28540 Onslow (910)346-1001 "Greater Visions Healthcare Services, Inc." 110773 MHL-041-944 "Green Light Counseling, Inc." 01-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Green Light Counseling Day Treatment Program 301 N. Elm Street #801 Greensboro NC 27401 810 Warren Street Greensboro NC 27403 Guilford (336)274-1237 "Green Light Counseling, Inc." 930773 MHL-001-217 "Green Valley Haven, LLC" 27-Jun-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Wicker Street Group Home P.O. Box 981 Haw River NC 27258 809 Wicker Street Burlington NC 27217 Alamance (336)227-4350 "Green Valley Haven, LLC" 100761 MHL-001-220 "Green Valley Haven, LLC" 07-Oct-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Green Valley Haven PO Box 981 Haw River NC 27258 2528 Anderson Road Burlington NC 27217 Alamance (336)270-4636 "Green Valley Haven, LLC" 920181 MHL-041-622 Gregory Carter 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 9 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Carter Group Home 3101 East Bessemer Avenue Greensboro NC 27405 3101 East Bessemer Avenue Greensboro NC 27405 Guilford (336)275-2985 Gregory Carter 000491 MHL-034-131 "Group Homes of Forsyth, Inc." 14-Jul-00 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Raven Ridge Group Home "8064 North Point Blvd, Suite 201" Winston-Salem NC 27106 460 Raven Ridge Drive Kernersville NC 27284 Forsyth (336)772-3649 920485 MHL-034-146 "Group Homes of Forsyth, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Group Homes of Forsyth, Inc.-Pressman Drive Home" "8064 North Point Blvd, Suite 201" Winston-Salem NC 27106 5130 Pressman Drive Winston-Salem NC 27105 Forsyth (336)767-0619 920486 MHL-034-150 "Group Homes of Forsyth, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Group Homes of Forsyth, Inc.- Ebert Street Home" "8064 North Point Blvd, Ste., 201" Winston-Salem NC 27106 3830 Ebert Street Winston-Salem NC 27127 Forsyth (336)785-2635 920487 MHL-034-151 "Group Homes of Forsyth, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type A 04-Mar-10 - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL "Group Homes of Forsyth, Inc.-Independence Road" "8064 North Point Blvd., Ste. 201" Winston-Salem NC 27106 2001 Independence Road Winston-Salem NC 27106 Forsyth (336)924-0136 920488 MHL-034-152 "Group Homes of Forsyth, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Group Homes of Forsyth, Inc.-Stockton Street Home" "8064 North Point Blvd, Suite 201" Winston-Salem NC 27106 3250 Stockton Street Winston-Salem NC 27127 Forsyth (336)788-5768 920749 MHL-085-025 "Group Homes of Forsyth, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Group Homes of Forsyth, Inc.-McGee Court Home" "8064 North Point Blvd., Ste. 201" Winston-Salem NC 27601 100 McGee Court King NC 27021 Stokes (336)983-9184 960163 MHL-034-147 "Group Homes of Forsyth, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL "Group Homes of Forsyth, Inc.-Brandywine Road" "8064 North Point Blvd, Ste. 201" Winston-Salem NC 27106 2588 Brandywine Road Winston-Salem NC 27103 Forsyth (336)765-6601 101176 MHL-034-281 "Group Homes of Forsyth, Inc." 04-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY GHF-Supported Opportunities "8064 North Point Blvd, Ste 201" Winston-Salem NC 27106 "8064 North Point Blvd., Suite 201" Winston-Salem NC 27106 Forsyth (336)831-1300 "Group Homes of Forsyth, Inc." 010323 MHL-093-034 "Guardian Angel Healthcare, LLC" 19-Feb-02 01-Jan-13 31-Dec-13 Type A 07-Dec-09 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Willow Road Facility PO Box 2002 Henderson NC 27536 474 Macon-Embro Road Macon NC 27551 Warren (252)257-1931 Cornelius Williams 030673 MHL-091-087 "Guardian Angel Healthcare, LLC" 23-Jan-08 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Esther's Place P.O. Box 2002 Henderson NC 27536 270 Charles Street Henderson NC 27536 Vance (252)572-2146 "Guardian Angel Healthcare, LLC" 100012 MHL-041-935 "Guess Community Services, Inc." 28-Jan-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Guess Community Services, Inc. Day Treatment Center" 6107 Bascom Drive Summerfield NC 27358 "3818 North Elm Street, Suite C" Greensboro NC 27455 Guilford (336)545-5995 "Guess Community Services, Inc." 100624 MHL-041-974 "Guess Community Services, Inc." 25-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Guess Community Services Inc. Skills Enhancement Center 6107 Bascom Drive Summerfield NC 27358 "3816 North Elm Street, Suite C" Greensboro NC 27455 Guilford (336)545-7833 "Guess Community Services, Inc." 041119 MHL-096-149 Gwendalyn Howell/Dorothy Howell 29-Oct-04 29-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Howell & Howell's 725 Luther Drive Goldsboro NC 27530 725 Luther Drive Goldsboro NC 27530 Wayne (919)751-0031 Howell & Howell's 090860 MHL-051-177 "HHDM, Inc." 15-Jan-10 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Johnston Recovery Services 1699 Old US Highway 70 West Clayton NC 27520 1699 Old US Highway 70 West Clayton NC 27520 Johnston (919)359-1699 "HHDM, Inc." 010064 MHL-045-048 "Halcyon, LLC" 29-Mar-01 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Halcyon L.L.C #B PO Box 1082 Hendersonville NC 28793 717 Loop Rd. Hendersonville NC 28792 Henderson (828)694-0554 110697 MHL-092-829 "Hannah Family Care Homes, Inc." 21-Dec-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Hannah Family Care Homes, Inc." 5024 Dantree Place Raleigh NC 27609 5024 Dantree Place Raleigh NC 27609 Wake (919)900-8916 060946 MHL-096-180 "Harbor House, Inc." 18-Aug-06 01-Jan-13 31-Dec-13 Type B 11-Aug-10 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Harbor House V 2822 Caswell Drive #178 Goldsboro NC 27530 1205 South Best Street Goldsboro NC 27530 Wayne (919)988-0486 041013 MHL-025-222 Harriett Amos 21-Jan-11 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Ann Cares 142 South Forest Drive Havelock NC 28532 142 South Forest Drive Havelock NC 28532 Craven (252)444-0770 Harriett Amos 100835 MHL-098-173 "Harvest Care of NC, LLC" 04-Nov-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Redesigning Life of NC PO Box 683 Wilson NC 27894 "806 Tarboro Street, Suite A" Wilson NC 27893 Wilson (252)206-1547 "Harvest Care of NC, LLC" 090293 MHL-098-136 "Harvest Care of North Carolina, LLC" 06-Aug-09 01-Jan-13 31-Dec-13 Suspension of Admission 12-Oct-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Harvest Care of North Carolina, LLC" PO Box 683 Wilson NC 27894 1513 Forest Hills Road Wilson NC 27893 Wilson (252)237-0090 Chandra R. Peques 050258 MHL-032-356 Hattie C. Carrington 15-Nov-05 01-Jan-13 31-Dec-13 Type A 23-Sep-11 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inez's House 209 Ganyard Farm Way Durham NC 27703 2811 Independence Avenue Durham NC 27703 Durham (919)957-9579 060864 MHL-044-048 "Haywood Vocational Opportunities, Inc." 17-Aug-06 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs NONE NONE DAY "Haywood Vocational Opportunities, Inc." PO Box 7 Hazelwood NC 28738 172 Riverbend Street Waynesville NC 28786 Haywood (828)456-4455 100941 MHL-044-054 "Haywood Vocational Opportunities, Inc." 01-Oct-10 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Haywood Vocational Opportunities-Westwood Facility 172 Riverbend Street Waynesville NC 28786 150 Westwood Circle Waynesville NC 28786 Haywood (828)456-4455 "Haywood Vocational Opportunities, Inc." 070126 MHL-032-411 Hazel Clinkscales/ Hattie Carrington 29-May-07 01-Jan-13 31-Dec-13 Type B 29-Sep-11 - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Harvest of Hope 2509 Lane Street Durham NC 27707 2509 Lane Street Durham NC 27707 Durham (973)713-0726 Hazel Clinkscales 080576 MHL-011-309 "Heading in the Right Direction, Inc." 19-Feb-09 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Eye View Home "31 College Pl., Bldg. B, Ste. 222" Asheville NC 28801 45 Eye View Road Candler NC 28715 Buncombe (828)665-7617 "Heading In The Right Direction, Inc." 100649 MHL-092-781 "Healing Interventions, Inc." 16-Jul-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation ADOL&A MI DAY "Healing Interventions, Inc." "1100 Navaho Drive, Suite 106-B" Raleigh NC 27609 "1100 Navaho Drive, Suite 103 & 106-B" Raleigh NC 27609 Wake (919)896-7055 "Healing Interventions, Inc." 100649 MHL-092-781 "Healing Interventions, Inc." 16-Jul-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment ADOL&A MI DAY "Healing Interventions, Inc." "1100 Navaho Drive, Suite 106-B" Raleigh NC 27609 "1100 Navaho Drive, Suite 103 & 106-B" Raleigh NC 27609 Wake (919)896-7055 "Healing Interventions, Inc." 100649 MHL-092-781 "Healing Interventions, Inc." 16-Jul-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Healing Interventions, Inc." "1100 Navaho Drive, Suite 106-B" Raleigh NC 27609 "1100 Navaho Drive, Suite 103 & 106-B" Raleigh NC 27609 Wake (919)896-7055 "Healing Interventions, Inc." 100649 MHL-092-781 "Healing Interventions, Inc." 16-Jul-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "Healing Interventions, Inc." "1100 Navaho Drive, Suite 106-B" Raleigh NC 27609 "1100 Navaho Drive, Suite 103 & 106-B" Raleigh NC 27609 Wake (919)896-7055 "Healing Interventions, Inc." 030779 MHL-032-297 "Healing with CAARE, Inc." 05-Aug-03 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Healing with CAARE Substance Abuse Treatment Facility 214 Broadway Street Durham NC 27701 214 Broadway Street Durham NC 27701 Durham (919)683-5300 "Healing with CAARE, Inc." 030779 MHL-032-297 "Healing with CAARE, Inc." 05-Aug-03 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Healing with CAARE Substance Abuse Treatment Facility 214 Broadway Street Durham NC 27701 214 Broadway Street Durham NC 27701 Durham (919)683-5300 "Healing with CAARE, Inc." 030779 MHL-032-297 "Healing with CAARE, Inc." 05-Aug-03 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Healing with CAARE Substance Abuse Treatment Facility 214 Broadway Street Durham NC 27701 214 Broadway Street Durham NC 27701 Durham (919)683-5300 "Healing with CAARE, Inc." 030779 MHL-032-297 "Healing with CAARE, Inc." 05-Aug-03 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Healing with CAARE Substance Abuse Treatment Facility 214 Broadway Street Durham NC 27701 214 Broadway Street Durham NC 27701 Durham (919)683-5300 "Healing with CAARE, Inc." 030779 MHL-032-297 "Healing with CAARE, Inc." 05-Aug-03 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY Healing with CAARE Substance Abuse Treatment Facility 214 Broadway Street Durham NC 27701 214 Broadway Street Durham NC 27701 Durham (919)683-5300 "Healing with CAARE, Inc." 100374 MHL-092-773 "HealthCore Resource, Inc" 23-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY HealthCore Resource Day Treatment & Substance Abuse Svc 2640 Yonkers Road Suite 104 Raleigh NC 27604 2640 Yonkers Road Suite 104 Raleigh NC 27604 Wake (919)870-1178 "HealthCore Resource, Inc." 100374 MHL-092-773 "HealthCore Resource, Inc" 23-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY HealthCore Resource Day Treatment & Substance Abuse Svc 2640 Yonkers Road Suite 104 Raleigh NC 27604 2640 Yonkers Road Suite 104 Raleigh NC 27604 Wake (919)870-1178 "HealthCore Resource, Inc." 100374 MHL-092-773 "HealthCore Resource, Inc" 23-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY HealthCore Resource Day Treatment & Substance Abuse Svc 2640 Yonkers Road Suite 104 Raleigh NC 27604 2640 Yonkers Road Suite 104 Raleigh NC 27604 Wake (919)870-1178 "HealthCore Resource, Inc." 030345 MHL-092-767 "Healthcore Resource, Inc." 22-Mar-10 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Kings Group Home for Children 109 Evening Star Drive Apex NC 27502 109 Evening Star Drive Apex NC 27502 Wake (919)303-5002 "Kings Group Home for Children, Inc." 010230 MHL-026-932 "Healthy Living Group Services, Inc." 28-Aug-12 01-Jan-13 31-Dec-13 - - - - 2 27G.5600A Supervised Living MI Adult A MI RESIDENTL Rockford Group Home PO Box 33 Clarendon NC 28432 6416 Rockford Drive Fayetteville NC 28304 Cumberland (910)485-8941 "RALM, Inc." 090367 MHL-060-1064 "HeartSpring, Inc." 10-Aug-08 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Shine Adult Home "3707 Latrobe Dr., Ste. 460" Charlotte NC 28211 16523 Silversward Drive Charlotte NC 28213 Mecklenburg (704)910-6277 "Heartspring, Inc." 031051 MHL-092-765 "Heartfelt Alternatives, Inc." 03-Mar-10 01-Jan-13 31-Dec-13 - - - - 3 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Heartfelt Alternatives, Inc." 1100 Logger Court Suite C 100 Raleigh NC 27609 2507 Blackwolf Run Lane Raleigh NC 27604 Wake (919)803-6871 "Heartfelt Alternatives, Inc." 120092 MHL-060-1241 "Heartspring, Inc." 10-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY Heartspring "3707 Latrobe Drive, Suite 460" Charlotte NC 28211-1361 "3707 Latrobe Drive, Suite 460" Charlotte NC 28211-1361 Mecklenburg (704)366-6522 "Heartspring, Inc." 101073 MHL-092-862 "Heavenly Place, LLC" 06-Mar-13 06-Mar-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Heavenly Place 2 PO Box 41153 Raleigh NC 27629 2105 Gresham Lake Road Raleigh NC 27615 Wake (919)896-6365 "Heavenly Place, LLC" 050306 MHL-092-866 "Heavenly Place, LLC" 04-Apr-13 04-Apr-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Heavenly Place, LLC" PO Box 41153 Raleigh NC 27629 8600 Neuse Hunter Drive Raleigh NC 27616 Wake (919)900-7843 960459 MHL-067-192 Helen C. Roush 04-Feb-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MD RESIDENTL Faith Therapeutic Services PO Box 1936 Swansboro NC 28584 1102 Duchess Lane Hubert NC 28539 Onslow (910)389-8830 Helen C. Roush 070451 MHL-036-255 "Henning and Associates, Inc." 13-Oct-98 01-Jan-13 31-Dec-13 Type A 23-Sep-09 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL River Wind 1002 Philadelphia Church Rd Dallas NC 28034-7684 1216-H East Hudson Blvd. Gastonia NC 28054 Gaston (704)864-2226 "Henning and Associates, Inc." 090292 MHL-036-278 "Henning and Associates, Inc." 03-Mar-10 01-Jan-13 31-Dec-13 Type A 17-Dec-10 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Buckingham 1002 Philadelphia Church Road Dallas NC 28034 1653 Buckingham Avenue Gastonia NC 28054 Gaston (704)869-0941 "Henning & Associates, Inc." 120346 MHL-036-299 "Henning and Associates, Inc." 29-Oct-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Patriots 1002 Philadelphia Church Road Dallas NC 28034 1252-D Union Road Gastonia NC 28054 Gaston (704)833-1209 "Henning and Associates, Inc." 971088 MHL-045-111 "Henning and Associates, Inc." 04-Feb-13 04-Feb-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MD RESIDENTL Hopeful 1002 Philadelphia Church Rd Dallas NC 28034 145 Azalea Way Hendersonville NC 28739 Henderson (828)693-5385 "Henning and Associates, Inc." 050083 MHL-092-399 Herbert Reid 22-Oct-99 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Herbert Reid Home PO Box 1057 Holly Springs NC 27540 3733 Heritage Meadow Lane Holly Springs NC 27540 Wake (919)363-5311 100050 MHL-098-171 "Herbert Reid Home, Inc" 30-Aug-11 01-Jan-13 31-Dec-13 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Herbert Reid Home, Inc." PO Box 1057 Holly Springs NC 27540 3801 Baybrooke Drive Wilson NC 27893 Wilson (252)206-1337 Herbert Reid 070540 MHL-098-176 "Herbert Reid Home, Inc." 03-Jan-12 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY "Herbert Reid Home, Inc. (HRH, Inc.)" P.O. Box 1057 Holly Springs NC 27540 2707-A Wooten Boulevard Wilson NC 27893 Wilson (252)654-4800 080766 MHL-032-398 "Herbert Way of Living, LLC" 02-Feb-07 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Herbert Way of Living, LLC" 519 East Club Boulevard Durham NC 27704-4501 519 East Club Boulevard Durham NC 27704-4501 Durham (919)317-1270 "Herbert Way of Living, LLC" 960281 MHL-092-231 Herbert and Senora Woodard 22-Apr-96 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Woodard's Home 2216 Angier Road Fuquay Varina NC 27526 2216 Angier Road Fuquay Varina NC 27526 Wake (919)639-6893 980734 MHL-041-835 Hermenia Milton 23-Jul-07 01-Jan-13 31-Dec-13 Type B 30-Jun-09 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Milton's Manor 1607 Martin Luther King Jr. Drive Greensboro NC 27406 1607 Martin Luther King Jr. Drive Greensboro NC 27406 Guilford (336)987-2474 Hermenia Milton 110338 MHL-041-1026 "Hicks House of Care, LLC" 05-Aug-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hick's House of Care 2611 Zola Drive Greensboro NC 27405 2611 Zola Drive Greensboro NC 27405 Guilford (336)375-1081 "Hicks House of Care, LLC" 020526 MHL-014-075 Hidden Springs Counseling Center 19-Dec-08 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Hidden Springs Counseling Center 5383 Westwood Drive Granite Falls NC 28630 1013 West Avenue Lenoir NC 28645 Caldwell (828)572-1636 William Goudelock 020526 MHL-014-075 Hidden Springs Counseling Center 19-Dec-08 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Hidden Springs Counseling Center 5383 Westwood Drive Granite Falls NC 28630 1013 West Avenue Lenoir NC 28645 Caldwell (828)572-1636 William Goudelock 110946 MHL-098-182 "Higher Heights Family Services, Inc." 27-Dec-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Higher Heights Family Services, Inc." PO Box 991 Wilson NC 27894 "806 Tarboro Street, Suite B" Wilson NC 27893 Wilson (252)243-0100 110946 MHL-098-182 "Higher Heights Family Services, Inc." 27-Dec-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Higher Heights Family Services, Inc." PO Box 991 Wilson NC 27894 "806 Tarboro Street, Suite B" Wilson NC 27893 Wilson (252)243-0100 030915 MHL-047-095 "Higher Horizons, Inc." 15-Nov-05 01-Jan-13 31-Dec-13 Reinstate 04-Apr-12 - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Higher Horizons, Inc." PO Box 1678 Raeford NC 28376 229 Azalea Street Raeford NC 28376 Hoke (910)920-6363 100422 MHL-071-031 "Highsmith Support Agency, Inc." 28-Jun-10 01-Jan-13 31-Dec-13 Type B Imposed 20-Dec-12 - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Highsmith Support Agency, Inc." PO Box 1422 Burgaw NC 28425 112 West Courthouse Avenue Burgaw NC 28425 Pender (910)259-4065 "Highsmith Support Agency, Inc." 100422 MHL-071-031 "Highsmith Support Agency, Inc." 28-Jun-10 01-Jan-13 31-Dec-13 Type B Imposed 20-Dec-12 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Highsmith Support Agency, Inc." PO Box 1422 Burgaw NC 28425 112 West Courthouse Avenue Burgaw NC 28425 Pender (910)259-4065 "Highsmith Support Agency, Inc." 041212 MHL-060-1039 "Hinds' Feet Farm, Inc." 10-Dec-07 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Hinds' Feet Farm PO Box 2842 Huntersville NC 28070 14625 Black Farms Road Huntersville NC 28078 Mecklenburg (704)992-1424 090377 MHL-011-313 "Hinds' Feet Farm, Inc." 25-Jun-09 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Hinds' Feet Farm-Asheville PO Box 2842 Huntersville NC 28070 375 Hendersonville Road Asheville NC 28803 Buncombe (828)274-0570 "Hinds' Feet Farm, Inc." 120547 MHL-060-1257 "Hinds' Feet Farm, Inc." 16-Jan-13 16-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hinds' Feet Farm-Puddin's Place PO Box 2842 Huntersville NC 28070 14645 Black Farms Road Huntersville NC 28078 Mecklenburg (704)992-5762 "Hinds' Feet Farm, Inc." 110228 MHL-041-1014 "Holistic Services, Inc." 21-Apr-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Holistic Services - Guilford "1405 Yanceyville St., Ste. E" Greensboro NC 27405 "1405 Yanceyville St., Ste. E" Greensboro NC 27405 Guilford (336)333-2559 "Holistic Services, Inc." 110228 MHL-041-1014 "Holistic Services, Inc." 21-Apr-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Holistic Services - Guilford "1405 Yanceyville St., Ste. E" Greensboro NC 27405 "1405 Yanceyville St., Ste. E" Greensboro NC 27405 Guilford (336)333-2559 "Holistic Services, Inc." 120532 MHL-078-271 "Holistic Services, Inc." 15-Oct-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Holistic Services, Inc." 220 Liberty Hill Road Lumberton NC 28358 220 Liberty Hill Road Lumberton NC 28358 Robeson (910)739-2477 120532 MHL-078-271 "Holistic Services, Inc." 15-Oct-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Holistic Services, Inc." 220 Liberty Hill Road Lumberton NC 28358 220 Liberty Hill Road Lumberton NC 28358 Robeson (910)739-2477 921533 MHL-036-037 "Holy Angels Services, Inc." 01-May-92 01-Jan-13 31-Dec-13 - - - - 48 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF Holy Angels Services-McAuley Residences 6600 Wilkinson Blvd. PO Box 710 Belmont NC 28012 McAuley Circle Belmont NC 28012 Gaston (704)825-4161 "Holy Angels Services, Inc." 941992 MHL-036-012 "Holy Angels Services, Inc." 01-Mar-85 01-Jan-13 31-Dec-13 - - - - 0 27G.2200 "School Year, Before/After School and Summer DD Services" C&A MR/DD DAY Holy Angels Services Inc.-Morrow Center 6600 Wilkinson Boulevard Belmont NC 28012 6600 Wilkinson Boulevard Belmont NC 28012 Gaston (704)825-4161 941992 MHL-036-012 "Holy Angels Services, Inc." 01-Mar-85 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs C&A MR/DD DAY Holy Angels Services Inc.-Morrow Center 6600 Wilkinson Boulevard Belmont NC 28012 6600 Wilkinson Boulevard Belmont NC 28012 Gaston (704)825-4161 941992 MHL-036-012 "Holy Angels Services, Inc." 01-Mar-85 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&A MD DAY Holy Angels Services Inc.-Morrow Center 6600 Wilkinson Boulevard Belmont NC 28012 6600 Wilkinson Boulevard Belmont NC 28012 Gaston (704)825-4161 941992 MHL-036-012 "Holy Angels Services, Inc." 01-Mar-85 01-Jan-13 31-Dec-13 - - - - 31 27G.2100 Specialized Community Residential Center C&A MR/DD RESIDENTL Holy Angels Services Inc.-Morrow Center 6600 Wilkinson Boulevard Belmont NC 28012 6600 Wilkinson Boulevard Belmont NC 28012 Gaston (704)825-4161 941992 MHL-036-012 "Holy Angels Services, Inc." 01-Mar-85 01-Jan-13 31-Dec-13 - - - - 14 27G.5100 Community Respite Services C&A MD RESIDENTL Holy Angels Services Inc.-Morrow Center 6600 Wilkinson Boulevard Belmont NC 28012 6600 Wilkinson Boulevard Belmont NC 28012 Gaston (704)825-4161 942619 MHL-036-041 "Holy Angels Services, Inc." 01-Aug-92 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Holy Angels Services-South Point 6600 Wilknson Blvd. Belmont NC 28012 2352 South Point Road Belmont NC 28012 Gaston (704)825-4161 944929 MHL-036-058 "Holy Angels Services, Inc." 01-Oct-93 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Holy Angels Services, Inc. - Lakewood" 6600 Wilkinson Blvd.-P.O. Box 710 Belmont NC 28012 302 Greenwood Place Belmont NC 28012 Gaston (704)825-4161 980056 MHL-036-111 "Holy Angels Services, Inc." 08-Jan-98 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Holy Angels Services, Inc.-The Carrabaun Home" 6600 Wilkinson Blvd. Belmont NC 28012 22 McAuley Circle Belmont NC 28012 Gaston (704)825-4161 980057 MHL-036-112 "Holy Angels Services, Inc." 08-Jan-98 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Holy Angels Services, Inc.-Gary Home" 6600 Wilkinson Blvd. Belmont NC 28012 20 McAuley Circle Belmont NC 28012 Gaston (704)825-4161 110508 MHL-034-286 "Home Care Solutions of NC, LLC" 01-Oct-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Home Care Solutions at Meredith Drive "450 W hanes Mill Rd, Suite 105" Winston Salem NC 27105 4444 Meredith Drive Winston-Salem NC 27107 Forsyth (336)602-2556 "Home Care Solutions of NC, LLC" 120040 MHL-034-296 "Home Care Solutions of NC, LLC" 28-Mar-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Home Care Solutions at Oaksburg Court 450 West Hanes Mill Rd Suite 105 Winston-Salem NC 27105 4225 Oaksburg Court Winston-Salem NC 27107 Forsyth (336)529-6471 "Home Care Solutions of NC, LLC" 120218 MHL-034-223 "Home Care Solutions of NC, LLC" 18-Dec-07 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Home Care Solutions "450 W Hanes Mill Rd, Suite 105" Winston-Salem NC 27105 4202 Salem Landing Court Winston-Salem NC 27101-4568 Forsyth (336)602-1185 "Home Care Solutions of NC, LLC" 100661 MHL-041-957 "Home of Second Chances, LLC" 04-Jun-99 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Home of Second Chances, LLC" "2300 West Meadowview Rd., Ste. 206" Greensboro NC 27407-3401 "2300 West Meadowview Rd., Ste. 206" Greensboro NC 27407-3401 Guilford (336)285-9031 Attn: Cynthis Jones 100661 MHL-041-957 "Home of Second Chances, LLC" 04-Jun-99 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Home of Second Chances, LLC" "2300 West Meadowview Rd., Ste. 206" Greensboro NC 27407-3401 "2300 West Meadowview Rd., Ste. 206" Greensboro NC 27407-3401 Guilford (336)285-9031 Attn: Cynthis Jones 120263 MHL-041-1059 HomeMeadows Services LLC 16-Aug-12 01-Jan-13 31-Dec-13 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Irving Place PO Box 1996 Burlington NC 27216 605 Whitsett Avenue Gibsonville NC 27249 Guilford (336)227-1613 HomeMeadows Services LLC 031227 MHL-024-060 Homecare Management Corporation 09-Feb-04 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY Homecare Mgmt. Corp. 2208 James B. White Hwy North Whiteville NC 28472 2208 James B. White Hwy North Whiteville NC 28472 Columbus (910)640-1153 031227 MHL-024-060 Homecare Management Corporation 09-Feb-04 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&A SAS DAY Homecare Mgmt. Corp. 2208 James B. White Hwy North Whiteville NC 28472 2208 James B. White Hwy North Whiteville NC 28472 Columbus (910)640-1153 031227 MHL-024-060 Homecare Management Corporation 09-Feb-04 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&A SAS DAY Homecare Mgmt. Corp. 2208 James B. White Hwy North Whiteville NC 28472 2208 James B. White Hwy North Whiteville NC 28472 Columbus (910)640-1153 970647 MHL-060-381 "Hope Haven, Inc." 09-May-97 01-Jan-13 31-Dec-13 - - - - 103 27G.4300 Supervised Therapeutic Community C&ADOL&A SAS RESIDENTL Villages of Hope Haven 3815 N Tryon Street Charlotte NC 28206 3815 N. Tryon Street Charlotte NC 28206 Mecklenburg (704)372-8809 970647 MHL-060-381 "Hope Haven, Inc." 09-May-97 01-Jan-13 31-Dec-13 - - - - 37 27G.4100 Therapeutic Homes for Individuals With SA Disorders And C&ADOL&A SAS RESIDENTL Villages of Hope Haven 3815 N Tryon Street Charlotte NC 28206 3815 N. Tryon Street Charlotte NC 28206 Mecklenburg (704)372-8809 040852 MHL-092-611 "Hope Services, LLC" 07-Sep-04 01-Jan-13 31-Dec-13 Provisional 17-Jul-09 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Hope House 918 Salwater Lane Carolina Beach NC 28428 821 Brookhannah Court Fuquay Varina NC 27526 Wake (919)557-4371 "Hope Services, LLC" 100001 MHL-092-682 "Hope Services, LLC" 18-May-07 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&A MI DAY Ray of Hope 918 Saltwater Lane Carolina Beach NC 28428 2900 Kidd Road Raleigh NC 27610 Wake (919)532-7599 "Hope Services, Inc." 070352 MHL-092-687 "Hope Services, LLC" 26-Jun-07 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Hope House II 918 Saltwater Lane Carolina Beach NC 28428 8909 Sauls Road Raleigh NC 27603 Wake (919)803-0674 "Hope Services, LLC" 040043 MHL-041-719 Hope Street LLC 13-May-04 01-Jan-13 31-Dec-13 Type B 12-Nov-10 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Hope Street Group Home 1523 GuinnessDrive McLeansville NC 27301 2007 Lynn Road Greensboro NC 27405 Guilford (336)375-5985 Hope Street LLC 922002 MHL-086-007 "Hope Valley, Inc." 01-May-91 01-Jan-13 31-Dec-13 - - - - 8 27G.3400 Residential Treatment/Rehabilitation A SAS RESIDENTL Hope Valley-Women's Division 152 Hope Valley Road Pilot Mountain NC 27041 152 Hope Valley Road Pilot Mountain NC 27014 Surry (336)368-2427 952003 MHL-086-006 "Hope Valley, Inc." 01-May-91 01-Jan-13 31-Dec-13 - - - - 22 27G.3400 Residential Treatment/Rehabilitation A SAS RESIDENTL Hope Valley-Men's Division P.O. Box 467 Dobson NC 27017 105 County Home Road Dobson NC 27017 Surry (336)386-8511 952003 MHL-086-006 "Hope Valley, Inc." 01-May-91 01-Jan-13 31-Dec-13 - - - - 8 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL Hope Valley-Men's Division P.O. Box 467 Dobson NC 27017 105 County Home Road Dobson NC 27017 Surry (336)386-8511 952003 MHL-086-006 "Hope Valley, Inc." 01-May-91 01-Jan-13 31-Dec-13 - - - - 12 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Hope Valley-Men's Division P.O. Box 467 Dobson NC 27017 105 County Home Road Dobson NC 27017 Surry (336)386-8511 080289 MHL-004-015 "Horizons Group Homes, Inc." 08-Sep-08 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Family First Services (Anson Site) PO Box 1145 Hamlet NC 28345 "123 East Martin Street, Suite 200" Wadesboro NC 28170 Anson (704)694-2232 "Horizon's Group Homes, Inc." 100168 MHL-004-022 "Horizons Group Homes, Inc." 22-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Horizons Group Home, Inc." PO Box 1145 Hamlet NC 28345 303 East View Street Wadesboro NC 28170 Anson (704)694-9856 "Horizon's Group Homes, Inc." 110313 MHL-077-067 "Horizons Group Homes, Inc." 31-May-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Horizons Group Homes, Inc. dba Family First Services" PO Box 1145 Hamlet NC 28345 39 West Main Street Hamlet NC 28345 Richmond (910)205-3080 "Horizons Group Homes, Inc." 922007 MHL-034-016 "Horizons Residential Care Center, Inc." 01-Jun-85 01-Jan-13 31-Dec-13 - - - - 30 27G.2100 Specialized Community Residential Center C&A MR/DD RESIDENTL ICF The Atrium/The Respite Center 100 Horizons Lane Rural Hall NC 27045 101 Horizons Ln & 103 Horizons Ln Rural Hall NC 27045 Forsyth (336)767-2411 922007 MHL-034-016 "Horizons Residential Care Center, Inc." 01-Jun-85 01-Jan-13 31-Dec-13 - - - - 6 27G.5100 Community Respite Services C&A MR/DD RESIDENTL The Atrium/The Respite Center 100 Horizons Lane Rural Hall NC 27045 101 Horizons Ln & 103 Horizons Ln Rural Hall NC 27045 Forsyth (336)767-2411 922700 MHL-034-050 "Horizons Residential Care Center, Inc." 01-May-92 01-Jan-13 31-Dec-13 - - - - 10 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF The Arches-Horizons Residential Care Center 100 Horizons Lane Rural Hall NC 27045 5900 Bethabara Park Boulevard Winston-Salem NC 27106 Forsyth (336)661-2190 Horizons Residential Care Center 000489 MHL-032-243 "House of Care, Inc." 17-Jul-00 01-Jan-13 31-Dec-13 Type A 18-Dec-08 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "House of Care, Inc." "5441 Lumley Road, Suite 101" Durham NC 27703 1817 Bivins Street Durham NC 27707 Durham (919)401-6466 040921 MHL-051-189 "House of Care, Inc." 14-Jan-11 01-Jan-13 31-Dec-13 Type A 09-Apr-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "House of Care, Inc." "5441 Lumley Road, Suite 101" Durham NC 27703 109 Deer Farm Lane Willow Springs NC 27592 Johnston (919)275-4308 980651 MHL-032-502 "House of Care, Inc." 10-Sep-09 16-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "House of Care, Inc." "5441 Lumley Rd, Ste 101" Durham NC 27703 "3500 Westgate Drive, Suite 501" Durham NC 27707 Durham (919)493-6871 980651 MHL-032-502 "House of Care, Inc." 10-Sep-09 16-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY "House of Care, Inc." "5441 Lumley Rd, Ste 101" Durham NC 27703 "3500 Westgate Drive, Suite 501" Durham NC 27707 Durham (919)493-6871 060148 MHL-082-057 Howell Support Services 30-Jan-06 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A AMB DAY Opportunities Unlimited ADVP PO Box 10946 Goldsboro NC 27532 118 County Complex Road Suite 2 Clinton NC 28328 Sampson (910)592-5945 920501 MHL-054-095 "Howell Support Services, LLC" 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hardee Road Group Home PO Box 10946 Goldsboro NC 27532 1612 Hardee Road Kinston NC 28501 Lenoir (252)686-0902 "Howell Support Services, LLC" 920650 MHL-054-096 "Howell Support Services, LLC" 15-Jun-01 01-Jan-13 31-Dec-13 Suspension of Admission 12-Feb-09 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Larkspur House PO Box 10946 Goldsboro NC 27532 601 Larkspur Road Kinston NC 28501 Lenoir (252)523-7303 "Howell Support Services, LLC" 920877 MHL-054-093 "Howell Support Services, LLC" 15-Jun-01 01-Jan-13 31-Dec-13 Suspension of Admission 23-Jan-08 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Old Farm Home PO Box 10946 Goldsboro NC 27534 1510 Farmgate Road Kinston NC 28504 Lenoir (252)686-6822 "Howell Support Services, LLC" 921002 MHL-054-094 "Howell Support Services, LLC" 15-Jun-01 01-Jan-13 31-Dec-13 Type B 08-Jun-10 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Rhem Group Home PO Box 10946 Goldsboro NC 27534 902 Rhem Street Kinston NC 28501 Lenoir (252)686-0904 "Howell Support Services, LLC" 942503 MHL-054-008 "Howell Support Services, LLC" 01-Dec-84 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Roseanne Group Home P.O. Box 10946 Goldsboro NC 27532 900 Roseanne Drive Kinston NC 28504 Lenoir (252)686-0906 990139 MHL-096-099 "Howell Support Services, LLC" 03-Feb-99 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Northwood Group Home PO Box 10946 Goldsboro NC 27532 2708 Northwood Drive Goldsboro NC 27534 Wayne (919)288-2560 "Howell Support Services, LLC" 090480 MHL-054-138 "Howell Support Services, LLC" 07-Aug-09 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Howell Support Services Enrichment Center 907-A Landmark Drive Goldsboro NC 27534 836-H Hardee Road Kinston NC 28504 Lenoir (252)523-1886 "Howell Support Services, LLC" 922547 MHL-029-009 "Howell's Child Care Center, Inc." 01-Aug-86 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Scotthurst I & II 3738 Howell Day Care Rd LaGrange NC 28551 174 Scotthurst Drive Winston Salem NC 27107 Davidson (336)764-3553 Howell Child Care Centers 922547 MHL-029-009 "Howell's Child Care Center, Inc." 01-Aug-86 01-Jan-13 31-Dec-13 - - - - 12 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Scotthurst I & II 3738 Howell Day Care Rd LaGrange NC 28551 174 Scotthurst Drive Winston Salem NC 27107 Davidson (336)764-3553 Howell Child Care Centers 922192 MHL-048-006 Hyde County DSS 21-Jan-10 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Mattamuskeet Opportunties Hyde ADAP PO Box 220 Swan Quarter NC 27885 69 Church Street Fairfield NC 27826 Hyde (252)926-5411 Mattamuskeet Opportunties Hyde ADAP 080771 MHL-053-068 "I Innovations, Inc." 01-Jan-11 01-Jan-13 31-Dec-13 Type A 10-Dec-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "I Innovations, Inc." PO Box 1553 Sanford NC 27331 176 Sandollar Court Sanford NC 27332 Lee (919)498-3668 110792 MHL-053-072 "I Innovations, Inc." 19-Jun-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "I Innovations, Inc." PO Box 1553 Sanford NC 27331 2206 Nash Street Sanford NC 27330 Lee (919)770-2617 "I Innovations, Inc." 110792 MHL-053-072 "I Innovations, Inc." 19-Jun-12 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY "I Innovations, Inc." PO Box 1553 Sanford NC 27331 2206 Nash Street Sanford NC 27330 Lee (919)770-2617 "I Innovations, Inc." 090294 MHL-067-184 "IQUOLIOC, Inc." 29-Sep-09 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY "IQUOLIOC, Inc." 669 Bell Fork Road Jacksonville NC 28540 669 Bell Fork Road Jacksonville NC 28540 Onslow (910)355-2000 Tammy Cleveland 011240 MHL-067-187 "IQUOLIOC, Inc." 21-Jul-10 01-Jan-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services A MD RESIDENTL Eagles Nest Retreat 675 Bell Fork Road Jacksonville NC 28540 141 Thomas Humphrey Road Jacksonville NC 28546 Onslow (910)347-5219 "IQUOLIOC, Inc." 011240 MHL-067-187 "IQUOLIOC, Inc." 21-Jul-10 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Eagles Nest Retreat 675 Bell Fork Road Jacksonville NC 28540 141 Thomas Humphrey Road Jacksonville NC 28546 Onslow (910)347-5219 "IQUOLIOC, Inc." 010516 MHL-092-752 Ijeoma Nwankwo 05-Nov-09 01-Jan-13 31-Dec-13 Type A 01-Mar-11 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Avalon #4 4428 Lousiburg Rd Raleigh NC 27616 5040 Kaplan Drive Raleigh NC 27606 Wake (336)253-2219 Ijeoma Nwankwo 090691 MHL-092-764 Ijeoma Nwankwo 17-Feb-10 01-Jan-13 31-Dec-13 Type A 25-Apr-11 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Avalon #3 "4428 Louisburg Road, Suite 109" Raleigh NC 27616 4133 White Pine Drive Raleigh NC 27612 Wake (336)253-2219 Ijeoma Nwankwo 080090 MHL-092-648 Ijeoma Nwankwo and Nnebuchi Nwankwo 27-Jun-06 01-Jan-13 31-Dec-13 Type B 13-Mar-07 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Avalon #1 4428 Louisburg Road Raleigh NC 27616 1108 Seabrook Road Raleigh NC 27610 Wake (919)833-1664 Ijeoma Nwankwo 020903 MHL-026-941 "Improving Life, Inc." 24-Jan-13 24-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Improving Life, Inc." 1830 Eichelberger Drive Fayetteville NC 28303 2305 Cleveland Avenue Fayetteville NC 28301 Cumberland (910)257-7236 130038 MHL-098-184 "In God's Hands IGH, LLC" 18-Mar-13 18-Mar-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL In God's Hands IGH 403 Harrison Drive Wilson NC 27893 403 Harrison Drive Wilson NC 27893 Wilson (252)991-5664 "In God's Hands IGH, LLC" 110097 MHL-060-1204 InReach 16-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY InReach-Community Outreach "4425 Randolph Road, Suite 400" Charlotte NC 28211 "4425 Randolph Road, Suite 218" Charlotte NC 28211 Mecklenburg (704)536-6661 "Residential & Support Services, Inc." 090905 MHL-078-240 "Independent Community-Based Services, LLC" 04-Dec-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Independent Community-Based Services LLC 1937 Ward Store Road Fairmont NC 28340 107 North Morro Street Fairmont NC 28340 Robeson (910)628-4055 Independent Community-Based Services L.L.C. 090905 MHL-078-240 "Independent Community-Based Services, LLC" 04-Dec-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Independent Community-Based Services LLC 1937 Ward Store Road Fairmont NC 28340 107 North Morro Street Fairmont NC 28340 Robeson (910)628-4055 Independent Community-Based Services L.L.C. 060680 MHL-025-203 "Independent Human Services, LLC" 14-Jun-06 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity NONE NONE DAY Independent Human Services Developmental Program 1225 Colony Drive New Bern NC 28562 406 Plum Avenue New Bern NC 28560 Craven (252)636-3326 Independent Human Services 070700 MHL-034-224 "Independent Living Group Home, LLC" 21-Dec-07 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Independent Living Group Home 1107 Constantine Court Kernersville NC 27284 924 Cloister Drive Winston Salem NC 27127 Forsyth (336)788-4199 "Independent Living Group Home, LLC" 100897 MHL-034-267 "Independent Living Group Home, LLC" 19-Oct-10 01-Jan-13 31-Dec-13 Type A 16-Sep-11 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Independent Living Group Home, LLC at Phillip Street" 1107 Constantine Court Kernersville NC 27284 2618 Phillip Street Winston Salem NC 27105 Forsyth (336)724-6131 110144 MHL-034-288 "Independent Living Group Home, LLC" 01-Oct-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Independent Living Group Home at Old Salisbury Road 1107 Constantine Court Kernersville NC 27284 2415 Old Salisbury Road Winston-Salem NC 27127 Forsyth (336)788-2319 "Independent Living Group Home, LLC" 090455 MHL-013-150 "Independent Opportunities, Inc." 17-Sep-09 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY IOI Enrichment Center 104 Cabarrus Avenue East Concord NC 28025 104 Cabarrus Avenue East Concord NC 28025 Cabarrus (704)788-7897 "Independent Opportunities, Inc." 101129 MHL-060-1198 "Independent Opportunities, Inc." 11-Jan-11 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY I.O.I. Enrichment Center - Charlotte 9216 University City Boulevard Charlotte NC 28213 9216 University City Boulevard Charlotte NC 28213 Mecklenburg (704)547-8521 "Independent Opportunities, Inc." 060813 MHL-020-042 "Industrial Opportunties, Inc." 28-Aug-06 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs C&ADOL&A NONE DAY "Industrial Opportunities, Inc." PO Box 1649 Andrews NC 28901 2586 Business Hwy 19 Andrews NC 28901 Cherokee (828)321-4754 110471 MHL-036-293 "Infinite Beginnings, LLC" 26-Aug-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Infinite Beginnings 105 North New Hope Road Gastonia NC 28054 105 North New Hope Road Gastonia NC 28054 Gaston (704)671-4047 "Infinite Beginnings, LLC" 100195 MHL-041-949 "Inner Growth Group, LLC" 24-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Inner Growth Group, LLC" 2807 Earlham Place High Point NC 27263 2807 Earlham Place High Point NC 27263 Guilford (336)885-1259 "INNER GROWTH GROUP, LLC" 100195 MHL-041-949 "Inner Growth Group, LLC" 24-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Inner Growth Group, LLC" 2807 Earlham Place High Point NC 27263 2807 Earlham Place High Point NC 27263 Guilford (336)885-1259 "INNER GROWTH GROUP, LLC" 110192 MHL-060-003 "Inner Vision, Inc." 01-Jan-86 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Inner Vision PO Box 31083 Charlotte NC 28231 415 E. 4th Street Charlotte NC 28202 Mecklenburg (704)377-5047 "Inner Vision, Inc." 110192 MHL-060-003 "Inner Vision, Inc." 01-Jan-86 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Inner Vision PO Box 31083 Charlotte NC 28231 415 E. 4th Street Charlotte NC 28202 Mecklenburg (704)377-5047 "Inner Vision, Inc." 120167 MHL-060-1242 "InnerVision, Inc." 16-May-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY InnerVision II PO Box 31083 Charlotte NC 28231 1000 Baxter Street Charlotte NC 28204 Mecklenburg (704)377-5042 "InnerVision, Inc." 120167 MHL-060-1242 "InnerVision, Inc." 16-May-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY InnerVision II PO Box 31083 Charlotte NC 28231 1000 Baxter Street Charlotte NC 28204 Mecklenburg (704)377-5042 "InnerVision, Inc." 100654 MHL-060-1187 "Innergy, LLC" 20-Oct-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL SAS DAY Innergy "1801 North Tryon St., Ste. 196" Charlotte NC 28206 "1801 North Tryon St., Ste. 196 & 197" Charlotte NC 28206 Mecklenburg (704)405-5994 "Innergy, LLC" 090061 MHL-036-269 "Innovative Compliance Solutions, LLC" 01-Jun-09 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III ADOL MI RESIDENTL New Hope Group Home 15409 Superior Street Charlotte NC 28273 3915 South New Hope Road Gastonia NC 28056 Gaston (704)879-4219 Desareta Jones 110966 MHL-023-176 "Innovative Compliance Solutions, LLC" 01-Jan-12 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL New Hope Group Home II "2020 Remount Rd., Ste. E-105" Gastonia NC 28054 1102 Groves Street Kings Mountain NC 28086 Cleveland (704)778-5635 Innovative Compliance Solutions LLC 942358 MHL-060-1091 "Innovative Support Services, LLC" 19-Feb-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MD RESIDENTL Patricia P. Mintz Home P.O. Box 560416 Charlotte NC 28256 7406 Bulle Rock Court Charlotte NC 28216 Mecklenburg (704)393-0053 "Innovative Support Services, LLC" 090321 MHL-060-1109 "Innovative Support Services, LLC" 16-Jul-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Nora Steed Home PO Box 560416 Charlotte NC 28256 6316 Old Coach Road Charlotte NC 28215 Mecklenburg (704)563-8210 Adriane Jackson 120339 MHL-060-1220 "Innovative Support Services, LLC" 25-Jul-11 01-Jan-13 31-Dec-13 Type A 27-Mar-13 - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Bathhurst Home PO Box 560416 Charlotte NC 28256 4316 Bathhurst Drive Charlotte NC 28227 Mecklenburg (980)939-1283 "Innovative Support Services, LLC" 922217 MHL-060-152 Inreach 01-Jan-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/ Shamrock Road 4425 Randolph Rd. Suite 400 Charlotte NC 28211 4724 Shamrock Drive Charlotte NC 28215 Mecklenburg (704)563-9885 922453 MHL-060-161 Inreach 01-Feb-92 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Crosby Road 4425 Randolph Rd. Suite 400 Charlotte NC 28211 3018 Crosby Road Charlotte NC 28211 Mecklenburg (704)366-8667 922454 MHL-060-159 Inreach 01-Feb-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Forsythia Circle "4425 Randolph Road, Suite 400" Charlotte NC 28211 1631 Forsythia Circle Charlotte NC 28208 Mecklenburg (704)399-4826 922455 MHL-060-157 Inreach 01-Feb-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Greywood Drive 4425 Randolph Rd. Suite 400 Charlotte NC 28211 4922 Greywood Drive Charlotte NC 28212 Mecklenburg (704)563-0105 922456 MHL-060-158 Inreach 01-Feb-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Lisa Circle 4425 Randolph Rd. Ste. 400 Charlotte NC 28211 7401 Lisa Circle Charlotte NC 28215 Mecklenburg (704)537-8188 922457 MHL-060-156 Inreach 01-Feb-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Nevins Road 4425 Randolph Rd. Suite 400 Charlotte NC 28211 3446 Nevins Road Charlotte NC 28269 Mecklenburg (704)598-6097 922458 MHL-060-160 Inreach 01-Feb-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Stillwell Oaks 4425 Randolph Rd. Suite 400 Charlotte NC 28211 232 Stillwell Oaks Charlotte NC 28212 Mecklenburg (704)568-7198 922459 MHL-060-162 Inreach 01-Feb-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/The Plaza 4425 Randolph Rd. Suite 400 Charlotte NC 28211 6637 Plaza Road Charlotte NC 28215 Mecklenburg (704)535-5360 922460 MHL-060-155 Inreach 01-Feb-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Williams Road 4425 Randolph Rd. Suite 400 Charlotte NC 28211 6312 Williams Road Charlotte NC 28215 Mecklenburg (704)535-0739 922680 MHL-060-146 Inreach 01-Dec-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Swans Run Road 4425 Randolph Road Suite 400 Charlotte NC 28211 7108 Swans Run Road Charlotte NC 28226 Mecklenburg (704)544-1225 944381 MHL-060-214 Inreach 09-Nov-93 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Gaynelle Drive 4425 Randolph Road Ste.400 Charlotte NC 28211 4525 Gaynelle Drive Charlotte NC 28215 Mecklenburg (704)536-5539 945346 MHL-060-239 Inreach 22-Dec-94 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Old Bell Road 4425 Randolph Rd. Suite 400 Charlotte NC 28211 215 Old Bell Road Charlotte NC 28270 Mecklenburg (704)362-2534 945347 MHL-060-240 Inreach 22-Dec-94 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Larkhaven Road 4425 Randolph Road Suite 400 Charlotte NC 28211 8223 Larkhaven Road Charlotte NC 28216 Mecklenburg (704)391-3013 041010 MHL-060-954 Inreach 15-Nov-04 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Inreach/Chelmsford Road 4425 Randolph Rd Suite 400 Charlotte NC 28211 4231 Chelmsford Road Charlotte NC 28211 Mecklenburg (704)366-3745 070646 MHL-060-1051 Inreach 14-Mar-08 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Inreach/ Highbury "4425 Randolph Road, Suite 400" Charlotte NC 28211 7400 Highbury Lane Charlotte NC 28213 Mecklenburg (704)499-4170 070363 MHL-034-219 "Inspirationz, LLC" 31-Aug-07 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Inspirationz PO Box 1681 Winston-Salem NC 27102 607 Hillhaven Drive Winston-Salem NC 27107 Forsyth (336)788-8579 Sandra Davis 070502 MHL-026-934 "Integrated Behavioral Health Services, Inc." 06-Sep-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Integrated Behavioral Healthcare Services, #3" "555 Executive Place, Suite 202" Fayetteville NC 28305 "555 Executive Place, Suite 202" Fayetteville NC 28303 Cumberland (910)438-0947 120046 MHL-077-069 "Integrated Care, Inc." 08-Mar-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Integrated Care, Inc." PO Box 5928 Concord NC 28027 "1219 Rockingham Road, Suite 12" Rockingham NC 28379 Richmond (910)817-9497 120046 MHL-077-069 "Integrated Care, Inc." 08-Mar-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Integrated Care, Inc." PO Box 5928 Concord NC 28027 "1219 Rockingham Road, Suite 12" Rockingham NC 28379 Richmond (910)817-9497 120046 MHL-077-069 "Integrated Care, Inc." 08-Mar-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "Integrated Care, Inc." PO Box 5928 Concord NC 28027 "1219 Rockingham Road, Suite 12" Rockingham NC 28379 Richmond (910)817-9497 060552 MHL-046-029 "Integrated Family Services, PLLC" 12-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL&A MI DAY "Integrated Family Services, PLLC" P.O. Box 885 Ahoskie NC 27910 228 East Main Street Ahoskie NC 27910 Hertford (252)209-0388 922044 MHL-011-036 "Irene Wortham Residential Center, Inc." 24-Jul-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Irene Wortham Residential Center-Azalea 916 West Chapel Road Asheville NC 28803 916 West Chapel Road Asheville NC 28803 Buncombe (828)274-7518 956171 MHL-011-108 "Irene Wortham Residential Center, Inc." 07-Jul-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL ICF IWRC-Dogwood 916 W. Chapel Road Asheville NC 28803 2 Rose Street Asheville NC 28803 Buncombe (828)274-7518 960009 MHL-011-022 "Irene Wortham Residential Center, Inc." 02-Dec-87 01-Jan-13 31-Dec-13 - - - - 12 27G.2100 Specialized Community Residential Center C&ADOL&A MR/DD RESIDENTL ICF IWC-Rose Street Home 916 West Chapel Road Asheville NC 28803 One Rose Street Asheville NC 28803 Buncombe (828)274-7518 Irene Wortham Resd'l Ctr Inc. 100947 MHL-060-1197 It Takes a Village Youth and Family 10-Dec-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL SAS DAY It Takes a Village Youth and Family Services "5736 North Tryon Street, Suite 105" Charlotte NC 28213-6850 "5736 North Tryon Street, Suite 105" Charlotte NC 28213-6850 Mecklenburg (980)819-7448 050540 MHL-092-639 "JAG's Residential Services, LLC" 27-Jan-06 01-Jan-13 31-Dec-13 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Beyond Measures 1006 Laurel Leaf Road Zebulon NC 27597 1005 Laurel Leaf Road Zebulon NC 27597 Wake (919)269-6107 "JAG's Residential Services,LLC" 080668 MHL-079-099 "Jabez Management, LLC" 05-Feb-09 01-Jan-13 31-Dec-13 Suspension of Admission 23-May-12 - - 5 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Empowered Girls PO Box 1404 Reidsville NC 27323 122 Main Street Reidsville NC 27320 Rockingham (336)361-9579 "Jabez Management, LLC" 020331 MHL-050-048 "Jackson County Psychological Services, P.A." 05-Oct-07 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment A SAS DAY Hub Day Treatment PO Box 728 Sylva NC 28779 3770 Skyland Drive Sylva NC 28779 Jackson (828)586-4328 Tracey Elliott C/O JCPS 070528 MHL-044-051 "Jackson County Psychological Services, P.A." 07-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Bridges Day Treatment P.O. Box 728 Sylva NC 28779 62 Joy Lane Waynesville NC 28786 Haywood (828)456-2405 Jackson County Psychological Services 110254 MHL-044-055 "Jackson County Psychological Services, P.A." 02-May-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Safe Harbor Day Treatment PO Box 728 Sylva NC 28779 1111 Plott Creek Road Waynesville NC 28786 Haywood (828)456-2406 Jackson County Psychological Services 110420 MHL-044-056 "Jackson County Psychological Services, P.A." 08-Jul-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY CMS Day Treatment PO Box 728 Sylva NC 28779 60 Penland Street Canton NC 28716 Haywood (828)646-3467 Jackson County Psychological Services. PA 110539 MHL-050-057 "Jackson County Psychological Services, P.A." 18-Aug-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Scott's Creek Day Treatment PO Box 728 Sylva NC 28779 516 Parris Branch Road Sylva NC 28779 Jackson (828)631-2740 "Jackson County Psychological Services, PA" 051017 MHL-056-025 "Jackson County Psychological Services, P.A." 07-Sep-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY CES Day Treatment PO Box 728 Sylva NC 28779 3295 Old Murphy Road Franklin NC 28734 Macon (828)524-2845 051091 MHL-044-057 "Jackson County Psychological Services, P.A." 01-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY WMS Day Treatment PO Box 728 Sylva NC 28786 495 Brown Avenue Waynesville NC 28786 Haywood (828)456-2403 "Jackson County Psychological Svs., P.A." 120298 MHL-044-059 "Jackson County Psychological Services, PA" 18-Jun-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Meadowbrook Elementary Day Treatment PO Box 728 Sylva NC 28779 85 Morningstar Road Canton NC 28716 Haywood (828)646-3445 "Jackson County Psychological Services, Inc." 120299 MHL-056-026 "Jackson County Psychological Services, PA" 18-Jun-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY MVI Day Treatment PO Box 728 Sylva NC 28779 161 Clarks Chapel Road Franklin NC 28734 Macon (828)349-1325 "Jackson County Psychological Services, Inc." 120297 MHL-044-060 "Jackson County Psychological Services, PA" 18-Jun-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Clyde Elementary Day Treatment PO Box 728 Sylva NC 28779 4182 Old Clyde Road Clyde NC 28721 Haywood (828)627-2206 "Jackson County Psychological Services, Inc." 080143 MHL-067-166 "Jacksonville Treatment Center, LLC" 06-Jun-06 01-Jan-13 31-Dec-13 Type B 31-Aug-12 - - 0 27G.3600 Outpatient Methadone A SAS DAY "Jacksonville Treatment Center, LLC" 1112 Silver Oaks Court Raleigh NC 27614 806 Bell Fork Road Jacksonville NC 28540 Onslow (910)347-2205 "Jacksonville Treatment Center, LLC" 060601 MHL-074-152 James Harris 19-Oct-01 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Emmanuel Residential Facility 2575 Plumosa Drive Grimesland NC 27837 3300 Pinetree Lane Greenville NC 27834 Pitt (252)355-4131 James Harris 080742 MHL-023-046 James L. King 20-Oct-98 01-Jan-13 31-Dec-13 Type A 23-Nov-11 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Eastpointe Children's Home "201 West Marion Street, Suite 207" Shelby NC 28150 114 Ross Grove Road Shelby NC 28150 Cleveland (704)600-6145 James L. King 060103 MHL-001-192 Jean C. Majors 17-Mar-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Helping Hands 4460-S NC Hwy 54 E Graham NC 27253 322/324 Walker Avenue Graham NC 27253 Alamance (336)270-4332 Jean C Majors 090688 MHL-001-186 Jean Majors 24-Nov-09 01-Jan-13 31-Dec-13 Type A 13-Sep-10 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Guidance House 805 Tucker Street Burlington NC 27215 805 Tucker Street Burlington NC 27215 Alamance (336)226-2381 Jean Coleman Majors 061123 MHL-058-022 Jeff Roberts 15-Feb-07 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Amani Residential/Human Services, Inc." P.O. Box 833 Williamston NC 27892 105 Roberson Drive Williamston NC 27892 Martin (252)792-7859 Jeff Roberts 070910 MHL-081-052 Jeff Wells 08-Sep-03 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Lifeline Counseling Center 473 Kingswood Drive Forest City NC 28043 373 West Main Street Forest City NC 28043 Rutherford (828)289-0574 Jeffrey L. Wells 110259 MHL-064-131 Jennifer Gary-Peterson 25-Apr-12 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Peace of Mind Adult Group Home 703 Bayberry Lane Nashville NC 27856 703 Bayberry Lane Nashville NC 27856 Nash (252)462-5483 060725 MHL-032-382 Jennifer Williams 16-Aug-06 01-Jan-13 31-Dec-13 Type A 02-Oct-09 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Devereux Residential Services, LLC" 103 Settlers Mill Lane Durham NC 27713 2 Callahan Circle Durham NC 27703 Durham (919)957-0145 "Devereux Residential Services, LLC" 000061 MHL-080-092 "Jerry E. Clevenger, LCAS, CCS" 22-Dec-99 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY CHOICES Substance Abuse Services 405 Vineyard Drive Salisbury NC 28146 "1121 Old Concord Road, Suite 7" Salisbury NC 28146 Rowan (704)637-7797 060210 MHL-047-101 Jerry Flood 03-Oct-06 01-Jan-13 31-Dec-13 Suspension of Admission 05-Feb-13 - - 12 27G.1800 Intensive Residential Treatment for Children Level IV C&ADOL MI RESIDENTL Forever Young Secured Community 1133 Chestnut Wood Fayetteville NC 28314 181 Bostic Road Rockfish NC 28376 Hoke (910)875-1004 Jerry Flood 010701 MHL-026-678 Jerry Lorenzo Flood 08-Feb-02 01-Jan-13 31-Dec-13 Type A 12-Oct-12 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Forever Young Group Care II 1133 Chestnutwood Drive Fayetteville NC 28314 975 Comet Circle Fayetteville NC 28314 Cumberland (910)868-4270 Forever Young Inc. 070368 MHL-074-186 Jerry Mitchell & Theodore Crandell 04-Oct-07 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Mitchell and Crandell Family Service PO Box 982 Bethel NC 27812 7238 Main Street Bethel NC 27812 Pitt (252)825-9887 Jerry Mitchell and Theodore Crandell 970020 MHL-069-006 Jimmy W. & Charlene B. Hill 18-Dec-96 01-Jan-13 31-Dec-13 Type A 05-Oct-07 - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MR/DD RESIDENTL Hill Therapeutic Home 594 Halls Creek Road New Bern NC 28560 594 Halls Creek Road New Bern NC 28560 Pamlico (252)745-5761 001360 MHL-060-907 "Jireh's Place, Inc." 30-Jun-03 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Jireh's Place 5128 Rosemede Drive Charlotte NC 28227 5128 Rosemede Drive Charlotte NC 28227 Mecklenburg (704)535-5590 "Jireh's Place, Inc." 070108 MHL-035-042 Joan Hewitt 04-Sep-03 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL AMB RESIDENTL Will Woods Home 125 Will Woods Way Franklinton NC 27525 125 Will Woods Way Franklinton NC 27525 Franklin (919)494-5829 Joan Hewett 030471 MHL-035-048 Joan Hewitt 15-Nov-07 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hewitt Home Care 36 Forest Hills Court Louisburg NC 27549 36 Forest Hills Court Louisburg NC 27549 Franklin (919)496-2352 Joan Hewitt 010707 MHL-092-804 "Johnson's House of Hope Family Care Home, LLC" 06-Jan-11 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL "Johnson's House of Hope Family Care Home, LLC" 2509 Rolling Pines Avenue Durham NC 27703 2117 Star Sapphire Drive Raleigh NC 27610 Wake (919)836-5359 040571 MHL-051-062 Johnston Counseling Services 29-Jan-97 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Johnston Counseling Services PO Box 1835 Smithfield NC 27577 111 North Second Street Smithfield NC 27577 Johnston (919)938-0921 040571 MHL-051-062 Johnston Counseling Services 29-Jan-97 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Johnston Counseling Services PO Box 1835 Smithfield NC 27577 111 North Second Street Smithfield NC 27577 Johnston (919)938-0921 040571 MHL-051-062 Johnston Counseling Services 29-Jan-97 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Johnston Counseling Services PO Box 1835 Smithfield NC 27577 111 North Second Street Smithfield NC 27577 Johnston (919)938-0921 920607 MHL-051-112 "Johnston County Group Homes, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Johnston County Group Home #2 Smithfield PO Box 1768 Smithfield NC 27577 300 North 7th Street Smithfield NC 27577 Johnston (919)934-8782 "Johnston County Group Homes, Inc." 920608 MHL-051-113 "Johnston County Group Homes, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Provisional 06-Apr-10 - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Johnston County Group Home #3 PO Box 1768 Smithfield NC 27577 505 West Blanche Street Pine Level NC 27568 Johnston (919)965-0158 "Johnston County Group Homes, Inc." 080398 MHL-051-152 "Johnston County Industries, Inc." 01-Aug-06 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MD DAY "Johnston County Industries, Inc." 1100 East Preston Street Selma NC 27576 1100 East Preston Street Selma NC 27576 Johnston (919)743-8700 060806 MHL-043-067 "Johnston County Industries, Inc." 03-Aug-06 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs NONE NONE DAY "Johnston County Industries, Inc. / Lillington Location" 1100 East Preston Street Selma NC 27576 200 Alexander Drive Lillington NC 27546 Harnett (910)814-5999 "Johnston County Industries, Inc." 922788 MHL-051-162 "Johnston County Industries, Inc." 15-Jun-07 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Unity House 1100 E Preston Street Selma NC 27576 112 Richardson Street Selma NC 27577 Johnston (919)965-6892 "Johnston County Industries, Inc." 001243 MHL-032-430 "Jones Health Services, Inc." 18-Feb-08 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Pickett Grove Supervised Living 3809 Pickett Road Durham NC 27705 3809 Pickett Road Durham NC 27705 Durham (919)403-9644 Pickett Grove Supervised Living 120326 MHL-092-845 "Jones Outreach Services, LLP" 18-May-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Jones Outreach Services, LLP" "107 Windel Drive, Suite 205" Raleigh NC 27609 "107 Windel Drive, Suite 205" Raleigh NC 27609 Wake (919)322-4292 120326 MHL-092-845 "Jones Outreach Services, LLP" 18-May-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Jones Outreach Services, LLP" "107 Windel Drive, Suite 205" Raleigh NC 27609 "107 Windel Drive, Suite 205" Raleigh NC 27609 Wake (919)322-4292 130147 MHL-092-854 "Jones Outreach Services, LLP" 25-Sep-12 09-Apr-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Jones Outreach Services, LLP" "107 Windel Drive, Suite 205" Raleigh NC 27609 229 N. Arendell Avenue Zebulon NC 27597-2603 Wake (919)426-3578 "Jones Outreach Services, LLP" 130147 MHL-092-854 "Jones Outreach Services, LLP" 25-Sep-12 09-Apr-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Jones Outreach Services, LLP" "107 Windel Drive, Suite 205" Raleigh NC 27609 229 N. Arendell Avenue Zebulon NC 27597-2603 Wake (919)426-3578 "Jones Outreach Services, LLP" 041074 MHL-016-029 Jose G. Carreon 28-Feb-00 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA NONE SAS DAY Smith Assessment & Treatment Services 3110 Arendell Street Suite 4 Morehead City NC 28557 3110 Arendell Street Suite 4 Morehead City NC 28557 Carteret (252)727-5488 "Smith Assessment & Treatment Services, Inc." 100314 MHL-054-147 "Joseph's Community Support Services, Inc" 17-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Joseph's Empowerment Center PO Box 1444 Kinston NC 28503 2005 N Queen Street (East side) Kinston NC 28501 Lenoir (252)208-2005 100314 MHL-054-147 "Joseph's Community Support Services, Inc" 17-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Joseph's Empowerment Center PO Box 1444 Kinston NC 28503 2005 N Queen Street (East side) Kinston NC 28501 Lenoir (252)208-2005 010079 MHL-010-079 Journeys LLC 20-Jul-12 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY South Brunswick Counseling Service PO Box 10723 Southport NC 28461 5285-22 S. Main Street Shallotte NC 28459 Brunswick (910)754-5887 Journey LLC 120154 MHL-010-080 Journeys LLC 20-Jul-12 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY South Brunswick Counseling Service PO Box 10723 Southport NC 28461 804 N. Howe Street Southport NC 28461 Brunswick (910)454-4040 Journeys LLC 100368 MHL-098-160 Joyce Adams 25-Mar-11 01-Jan-13 31-Dec-13 Type A 19-Oct-12 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Circle Of Love 6722 Jaycross Road Fremont NC 27830 6722 Jaycross Road Fremont NC 27830 Wilson (252)281-4577 Joyce Adams 020279 MHL-031-044 Joyce Elaine Miller & Glennell Miller 10-Apr-03 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Miller's Alternative Living 1399 NC Hwy 11-903 Kenansville NC 28349 291 East Charity Road Rose Hill NC 28458 Duplin (910)289-3727 Joyce Miller 000495 MHL-081-075 "Joyful Too!, LLC" 31-Aug-07 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Joyful Too! 614 Eldorado Street Troy NC 27371 126 Pine Street Forest City NC 28043 Rutherford (828)248-4369 Hilary Puzak 020129 MHL-092-496 Judith G. Dean 15-Apr-02 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C MR/DD RESIDENTL Judith's House 2625 Mary Marvin Trail Fuquay-Varina NC 27526 2625 Mary Marvin Trail Fuquay-Varina NC 27526 Wake (919)639-2947 990575 MHL-092-368 Judith Griffing 15-Feb-07 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Griffing Home 2409 Dunbrook Court Raleigh NC 27604 2409 Dunbrook Court Raleigh NC 27604 Wake (919)212-0199 Judith Griffing 001565 MHL-064-061 Judy Jones 27-Sep-01 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Jones Residental Care 3905 Red Road Nashville NC 27856 3905 Red Road Nashville NC 27856 Nash (252)459-2389 030775 MHL-001-169 Just In Time Youth Services 08-Sep-08 01-Jan-13 31-Dec-13 - - - - 6 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Just In Time Youth Services II P.O. Box 2162 Burlington NC 27216 111 Dogwood Drive Burlington NC 27215 Alamance (336)261-7148 Just In Time Youth Services 090548 MHL-001-149 Just In Time Youth Services 20-May-07 01-Jan-13 31-Dec-13 Type B 07-Jun-12 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Just In Time Youth Services PO Box 2162 Burlington NC 27216 109 North Fisher Street Burlington NC 27215 Alamance (336)261-7148 Just In Time Youth Services 944963 MHL-081-069 K D Support Services 01-Jan-07 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kelly's Care 158 U.S. Hwy. 221 A Forest City NC 28043 2073 Harris-Henrietta Road Mooresboro NC 28114 Rutherford (828)657-4757 kdsupportservices@charter.net 980950 MHL-050-060 KD Support Services 01-Feb-13 01-Feb-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kelly's Care #5 709 West Main Street Forest City NC 28043 244 South Painter Road Cullowhee NC 28723 Jackson (828)293-3758 KD Support Services 950303 MHL-081-076 "KD Support Services, LLC" 01-Jan-08 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kelly's Care II 5196 Smawley Avenue Morganton NC 28655 521 Oscar Justice Road Rutherfordton NC 28139 Rutherford (828)287-2630 Kenneth Dellinger 920271 MHL-081-087 "KD Support Services, LLC" 04-Jun-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kelly's Care 6 158 US Hwy 221-A Forest City NC 28043 156 US Highway 221-A Forest City NC 28043 Rutherford (828)245-8223 KD Support Services 940476 MHL-081-091 "KD Support Services, LLC" 15-Dec-10 01-Jan-13 31-Dec-13 Type B 20-Jun-11 - - 9 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kelly's Care #8 158 US Highway 221A Forest City NC 28043 1366 Cooper's Gap Road Rutherfordton NC 28139 Rutherford (828)286-4044 "KD Support Services, LLC" 060893 MHL-081-094 "KD Support Services, LLC" 16-Apr-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kelly's Care #3 158 US Hwy 221-A Forest City NC 28043 157 Cable Tower Road Forest City NC 28043 Rutherford (828)245-0488 "KD Support Services, LLC" 060572 MHL-051-114 "KMG Holdings, Inc." 25-Oct-01 01-Jan-13 31-Dec-13 Type B 23-Jul-12 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL The Lighthouse PO Box 24914 Raleigh NC 27611 1521 Ranch Rd Clayton NC 27520 Johnston (919)550-8038 040116 MHL-051-138 "KMG Holdings, Inc." 31-Mar-04 01-Jan-13 31-Dec-13 Type B Imposed 31-Jul-12 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL The Lighthouse II of Clayton PO Box 24914 Raleigh NC 27611 2016 Fort Drive Clayton NC 27520 Johnston (919)553-9111 KMG Holdings Inc. 090467 MHL-026-787 KV Consultants & Associates Inc. 25-May-04 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "KV Consultants & Associates, Inc." PO Box 943 Fayetteville NC 28305 "2411 Robeson Street, Suite 100" Fayetteville NC 28305 Cumberland (910)223-7114 "KV Consultants & Associates, Inc." 090467 MHL-026-787 KV Consultants & Associates Inc. 25-May-04 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "KV Consultants & Associates, Inc." PO Box 943 Fayetteville NC 28305 "2411 Robeson Street, Suite 100" Fayetteville NC 28305 Cumberland (910)223-7114 "KV Consultants & Associates, Inc." 050096 MHL-078-173 KV Consultants & Associates Inc. 20-Jun-05 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY KV Consultants & Associates Inc.-Lumberton PO Box 943 Fayetteville NC 28302-0943 106 Sixth Street Lumberton NC 28358 Robeson (910)739-4060 KV Consultants & Associates Inc. 050096 MHL-078-173 KV Consultants & Associates Inc. 20-Jun-05 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY KV Consultants & Associates Inc.-Lumberton PO Box 943 Fayetteville NC 28302-0943 106 Sixth Street Lumberton NC 28358 Robeson (910)739-4060 KV Consultants & Associates Inc. 100165 MHL-026-896 "Kaleo Supports, Inc." 15-Jun-10 01-Jan-13 31-Dec-13 - - - - 1 27G.5600F Supervised Living/Alternative Family Living ADOL&A MI RESIDENTL Kaleo Firethorn Drive 5227 Matt Hair Road Fayetteville NC 28312 7618 Firethorn Drive Fayetteville NC 28311 Cumberland (910)630-5152 "Kaleo Supports, Inc." 120048 MHL-072-008 Karen Clarke 27-Aug-09 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL TLC on the water 210 Soundward Lane Hertford NC 27944 210 Soundward Lane Hertford NC 27944 Perquimans (252)426-3496 Karen Clarke 070445 MHL-074-140 "Keep Hope Alive, LLC" 19-Feb-04 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Willow Manor PO Box 30557 Greenville NC 27833 1419 SE Greenville Boulevard Greenville NC 27858 Pitt (252)830-5337 Monica Wallace 060682 MHL-074-139 "Keep Hope Alive, LLC" 19-Feb-04 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Keswick Manor - Keep Hope Alive Human Services, LLC" PO Box 30557 Greenville NC 27833-0557 1110 SE Greenville Blvd. Greenville NC 27858-0557 Pitt (252)215-0337 090471 MHL-033-067 Keith Evans 08-Oct-09 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Keaira's House Adult Group Home 2828 Berkley Drive Rocky Mount NC 27803 836 Lincoln Drive Rocky Mount NC 27804 Edgecombe (252)446-8162 Keaira's House Adult Group Home 130086 MHL-036-301 Kennedy PSR 16-Apr-13 16-Apr-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Kennedy PSR 208 S. Oakland Street Gastonia NC 28052-4119 208 South Oakland Street Gastonia NC 28052-4119 Gaston (704)215-6574 Kennedy PSR 100146 MHL-060-1142 "Kerr Homes, Inc." 27-Apr-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Kerr Homes, Inc." 11511 Chansonette Court Charlotte NC 28213 342 Graham Meadow Drive Charlotte NC 28213 Mecklenburg (704)494-0290 "Kerr Homes, Inc." 060944 MHL-060-1249 "Kerr Homes, Inc." 16-Sep-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Fox Swamp Home "1801 North Tryon Street, Suite 424" Charlotte NC 28206 8212 Fox Swamp Road Charlotte NC 28269 Mecklenburg (704)535-2082 "Kerr Homes, Inc." 080112 MHL-060-1250 "Kerr Homes, Inc." 16-Sep-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Redding Home "1801 North Tryon Street, Suite 424" Charlotte NC 28206 8626 Redding Glenn Avenue Charlotte NC 28216 Mecklenburg (704)598-0320 "Kerr Homes, Inc." 120577 MHL-060-1102 "Kerr Homes, Inc." 26-Mar-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kerr Homes 11511 Cjamspmette Court Charlotte NC 28213 10025 Northwoods Forest Drive Charlotte NC 28214 Mecklenburg (704)392-0695 "Kerr Homes, Inc." 921697 MHL-092-853 Keystone Behavioral Health Nonprofit 24-Sep-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Keystone Behavioral Health Nonprofit "3650 Rogers Road, Suite 177" Wake Forest NC 27587 "2533 Atlantic Avenue, Suite 102" Raleigh NC 27604 Wake (919)832-1011 101263 MHL-076-104 Kimesha K Spinks 08-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&A SAS DAY Steps for Change Behavioral Health Care PO Box 157 Ramseur NC 27316 130 North Brady Street Ramseur NC 27316 Randolph (336)824-2171 Kimesha Spinks 030859 MHL-076-069 Kimesha Kelly Spinks 09-Dec-03 01-Jan-13 31-Dec-13 Type B Imposed 23-Sep-10 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL New Beginnings Youth Facility P.O. Box 157 Ramseur NC 27316 2106 Newell Street Ramseur NC 27316 Randolph (336)824-3314 Att: Kimesha Spinks 070096 MHL-032-405 "Kinder Love Home, LLC" 20-Mar-07 28-Jan-13 31-Dec-13 Type A 17-Sep-08 - - 5 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Kinder Love Home 908 Penncross Drive Raleigh NC 27610 32 Yorkfield Court Durham NC 27713 Durham (919)765-5981 "Kinder Love Home, LLC" 980352 MHL-034-215 "King-Wendt Group Home, LLC" 13-Mar-07 01-Jan-13 31-Dec-13 Type A 25-Sep-07 - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL King-Wendt Home 3910 Char-Win Drive Winston Salem NC 27101 3910 Char-Win Drive Winston-Salem NC 27101 Forsyth (336)293-8848 Don Wendt / Linda King 041429 MHL-065-071 "Knox Counseling Services, Inc." 13-Dec-96 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY "Knox Counseling Services,Inc. dba Harvest of Wilmington" 773 South Kerr Avenue Wilmington NC 28403 773 South Kerr Avenue Wilmington NC 28403 New Hanover (910)793-0566 Harvest of Wilmington 020780 MHL-054-103 Kristi's Homes Inc. 18-Sep-02 01-Jan-13 31-Dec-13 Suspension of Admission 19-Dec-12 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kristi's Homes Inc. 2691 Falling Creek Road Kinston NC 28504 202 East Railroad Street La Grange NC 28551 Lenoir (252)566-2287 "Kristi's Homes, Inc." 090271 MHL-096-236 Krystal Scott 23-Dec-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY A Plus Life Skills 403 Lynn Avenue Goldsboro NC 27534 201 West Walnut Street Goldsboro NC 27530 Wayne (919)288-1139 Krystal Scott 090271 MHL-096-236 Krystal Scott 23-Dec-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY A Plus Life Skills 403 Lynn Avenue Goldsboro NC 27534 201 West Walnut Street Goldsboro NC 27530 Wayne (919)288-1139 Krystal Scott 041561 MHL-040-028 "Krystal's House, LLC" 28-Feb-06 01-Jan-13 31-Dec-13 Type B Imposed 23-May-11 - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Krystal's House, LLC" 1101 Kearney Cemetery Rd Snow Hill NC 28580 83 White Horse Rd Pikeville NC 27863 Greene (252)747-2988 Krystal's House 041561 MHL-040-028 "Krystal's House, LLC" 28-Feb-06 01-Jan-13 31-Dec-13 Type B Imposed 23-May-11 - - 0 ** A MI RESIDENTL "Krystal's House, LLC" 1101 Kearney Cemetery Rd Snow Hill NC 28580 83 White Horse Rd Pikeville NC 27863 Greene (252)747-2988 Krystal's House 090358 MHL-033-076 "Kyseem's Unity Group Home, LLC" 30-Mar-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Kyseem's Unity Group Home, LLC" PO Box 129 Pinetops NC 27864 136 South Fairview Circle Tarboro NC 27886 Edgecombe (252)641-0522 Dearl Powell / Kyseem's Unity LLC 060482 MHL-001-142 "L & J Homes, Inc." 17-Nov-06 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL L & J Homes -Apple Street PO Box 2273 Burlington NC 27217 816 Apple Street Burlington NC 27217 Alamance (336)228-1456 090638 MHL-068-146 "L & M Management Services, Inc." 31-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "L&M Management Services, Inc." 236 Orange Grove Street Hillsborough NC 27278 236 Orange Grove Street Hillsborough NC 27278 Orange (919)732-6010 "L&M Management Services, Inc." 120109 MHL-073-062 "L&M Management Services, Inc." 16-May-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5100 Community Respite Services C&A MI RESIDENTL Cameron House 236 Orange Grove Street Hillsborough NC 27278 1355 Dick Holeman Road Timberlake NC 27583 Person (336)364-1121 "L&M Management Services, Inc." 921754 MHL-042-001 "LIFE, Inc." 01-Feb-89 01-Jan-13 31-Dec-13 Type A 18-Nov-08 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Deerfield 2609 Royall Avenue Goldsboro NC 27534 105 Deerfield Place Roanoke Rapids NC 27870 Halifax (252)537-4263 "Life, Inc." 921767 MHL-007-008 "LIFE, Inc." 18-Jan-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "LIFE, Inc./Dixon Road Group Home" 2609 Royall Ave. Goldsboro NC 27534 1383 Dixon Road Chocowinity NC 27817 Beaufort (252)975-1220 "Life, Inc." 921798 MHL-007-006 "LIFE, Inc." 11-Dec-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Life, Inc./Edgewood Group Home" 2609 Royall Ave. Goldsboro NC 27534 77 Edgewood Drive Chocowinity NC 27817 Beaufort (252)975-6468 "LIFE, Inc." 944709 MHL-064-020 "LIFE, Inc." 23-Sep-93 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "LIFE, Inc/ Green Tee Lane" 2609 Royall Avenue Goldsboro NC 27534 1320 Green Tee Lane Rocky Mount NC 27804 Nash (252)972-6975 "LIFE, Inc." 944843 MHL-016-011 "LIFE, Inc." 28-Jul-93 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "LIFE, Inc./Grey Fox Run Group Home" 2609 Royall Avenue Goldsboro NC 27534 312 Grey Fox Run Newport NC 28570 Carteret (252)223-2466 "Life, Inc." 944844 MHL-016-012 "LIFE, Inc." 16-Jul-93 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "LIFE, Inc./Nine Foot Road Group Home" 2609 Royall Avenue Goldsboro NC 27534 1229 Nine Foot Road Newport NC 28570 Carteret (252)223-3774 "Life, Inc." 952101 MHL-096-002 "LIFE, Inc." 01-Oct-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "LIFE, Inc./Walnut Street Group Home" 2609 Royall Avenue Goldsboro NC 27534 1011 East Walnut Street Goldsboro NC 27530 Wayne (919)736-7668 "LIFE, Inc." 956891 MHL-007-014 "LIFE, Inc." 31-Oct-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "LIFE, Inc./Beaufort Heights Group Home" 2609 Royall Avenue Goldsboro NC 27534 103 Circle Street Washington NC 27889 Beaufort (252)946-4133 956892 MHL-007-015 "LIFE, Inc." 31-Oct-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "LIFE, Inc./Minute Man Group Home" 2609 Royall Ave. Goldsboro NC 27534 388 Minute Man Lane Washington NC 27889 Beaufort (252)946-5563 "LIFE, Inc." 960465 MHL-021-009 "LIFE, Inc." 03-Jul-96 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Edenton Day Program 2609 Royall Avenue Goldsboro NC 27534 701-D North Broad Street Edenton NC 27932 Chowan (252)482-8666 "Life, Inc." 120281 MHL-042-067 "LIFE, Inc." 21-Jun-12 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Halifax Co. Day Program 2609 Royall Avenue Goldsboro NC 27534 706 South McDaniel Street Enfield NC 27823 Halifax (252)445-1590 "Life, Inc." 922348 MHL-044-006 LIFESPAN Incorporated 01-Dec-88 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Stockton Home 264 Lillie Lane Canton NC 28716 264 Lillie Lane Canton NC 28716 Haywood (828)648-1765 041039 MHL-041-921 LSM Enterprises Inc. 15-Jul-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Disability Management Services 1309 Cedrow Drive High Point NC 27260 1309 Cedrow Drive High Point NC 27260 Guilford (336)884-5544 Disability Management Services 000118 MHL-001-073 Larry A. Leath 18-Feb-00 01-Jan-13 31-Dec-13 Type A 04-Jun-09 - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL L & J Homes PO Box 2273 Burlington NC 27217 803 Elizabeth Street Burlington NC 27217 Alamance (336)227-5593 Larry A. Leath 990635 MHL-001-106 Larry A. Leath 29-Jan-03 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "L & J Homes, Inc.-Richmond Avenue" PO Box 2273 Burlington NC 27215 511 Richmond Avenue Burlington NC 27217 Alamance (336)226-5561 Larry Leath 921316 MHL-098-077 Larry Wellman 15-Jun-01 01-Jan-13 31-Dec-13 Type A 29-Sep-11 - - 9 27G.5600A Supervised Living MI Adult A MI RESIDENTL The Wellman Center I P O Box 694 Wilson NC 27893 410 West Garner Street Wilson NC 27893 Wilson (252)237-4241 040204 MHL-098-109 Larry Wellman 12-Dec-05 01-Jan-13 31-Dec-13 Type B 16-Mar-12 - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Wellman Center 4 410 W. Garner St. Wilson NC 27893 406 W. Garner St. Wilson NC 27893 Wilson (252)237-4241 Wellman Center 1 040202 MHL-098-110 Larry Wellman 01-Mar-06 01-Jan-13 31-Dec-13 Type A 16-Aug-10 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Wellman Center 3 410 West Garner St. Wilson NC 27893 408 West Garner St. Wilson NC 27893 Wilson (252)237-4241 Wellman Center 1 920383 MHL-041-620 Lathay L. Coltrane 15-Jun-01 01-Jan-13 31-Dec-13 Type B 30-Jun-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Coltrane's Group Home PO Box 79113 Greensboro NC 27417 3811 Repon Street Greensboro NC 27407 Guilford (336)299-9757 110840 MHL-064-133 Lavetta B. Bowers 06-Jun-12 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Caring & Sharing Love 4148 Harrison Drive Rocky Mount NC 27804 4148 Harrison Drive Rocky Mount NC 27804 Nash (252)451-5660 Lavetta B. Bowers 100315 MHL-003-012 "Lawson Support Services, LLC" 05-Nov-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY The Den PO Box 189 Sparta NC 28675 334 North Main Street Sparta NC 28675 Alleghany (336)372-6083 "Lawson Support Services, LLC" 120260 MHL-005-026 "Lawson Support Services, LLC" 25-Jun-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY The Den - Ashe PO Box 189 Sparta NC 28675-0189 "626 Ashe Central School Road, Suite A" Jefferson NC 28640 Ashe (336)982-2128 "Lawson Support Services, LLC" 120259 MHL-005-027 "Lawson Support Services, LLC" 25-Jun-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY PSR at The Den - Ashe PO Box 189 Sparta NC 28675-0189 "626 Ashe Central School Road, Suite B" Jefferson NC 28640 Ashe (336)982-2128 "Lawson Support Services, LLC" 120444 MHL-023-178 "Lawson Support Services, LLC" 27-Feb-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY The Den-Shelby PO Box 189 Sparta NC 28675-0189 925 North Lafayette Street Shelby NC 28150-3832 Cleveland (704)864-1477 120603 MHL-003-013 "Lawson Support Services, LLC" 08-Apr-11 04-Mar-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY PSR @ The Den PO Box 189 Sparta NC 28675-0189 360 North Main Street Sparta NC 28675 Alleghany (336)372-6083 "Lawson Support Services, Inc." 120311 MHL-064-135 "Le' Chris Adult Day Care of Rocky Mount, Inc." 19-Jul-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Nash-Rocky Mount Public School Day Treatment 130 Jones Road Rocky Mount NC 27804 "308 South Tillery Street, Science Building" Rocky Mount NC 27804 Nash (252)977-3085 "Le'Chris Adult Day Care of Rocky Mount, Inc." 061288 MHL-064-074 "Le'Chris Adult Daycare of Rocky Mount, Inc." 13-Jun-05 01-Jan-13 31-Dec-13 Type B 24-Aug-09 - - 0 27G.1200 Psychosocial Rehabilitation A NONE DAY Carolina Blue Waters 1822 S. Glenburnie Rd New Bern NC 28862 130 Jones Road Rocky Mount NC 27804 Nash (252)443-0480 "Le'Chirs Adult Daycare, Inc." 050878 MHL-098-121 "Le'Chris Adult Daycare, Inc." 10-Oct-07 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Le'Chris Adult Daycare dba Carolina Blue Waters, Too" 316 Douglas Street Wilson NC 27893 316 Douglas Street Wilson NC 27893 Wilson (252)243-2339 "Le'Chris Adult Daycare, Inc." 090679 MHL-009-035 "Le'Chris Behavioral Health Services, Inc." 16-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Elizabethtown Primary Day Treatment "1822 S. Glenburnie Road, Suite 352" New Bern NC 28562 301 Mercer Mill Road Elizabethtown NC 28337 Bladen (910)862-3380 "Le'Chris Behavioral Health Services, Inc." 090018 MHL-067-180 "Le'Chris Counseling Services, Inc." 05-Feb-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY The Coastal House 1822 S. Glenburnie Rd Ste 352 New Bern NC 28562 57 Office Park Road Jacksonville NC 28546 Onslow (910)577-8200 "Le'Chris Counseling Services, Inc." 061358 MHL-065-214 "Le'Chris Counseling Services, Inc." 16-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Lake Forrest Academy Day Treatment "1822 S. Glenburnie Rd, Ste 352" New Bern NC 28562 1806 South 15th Street Wilmington NC 28401 New Hanover (910)772-2515 "Le'Chris Counseling Services, Inc." 101217 MHL-016-036 "Le'Chris Counseling Services, Inc." 12-Feb-08 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY The Beach House "1822 South Glenburnie Rd., Ste. 352" New Bern NC 28562 301 Maple Lane Morehead City NC 28557 Carteret (252)726-9732 "LeChris Counseling Services, Inc." 110042 MHL-016-041 "Le'Chris Counseling Services, Inc." 10-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Le'Chris Counseling Services, Inc. of Carteret County" "1822 S. Glenburnie Rd., Ste. 352" New Bern NC 28562 140 Vashti Drive Morehead City NC 28557 Carteret (252)648-8602 "Le'Chris Counseling Services, Inc." 070641 MHL-074-108 Le'Chris Health Systems of Greenville Inc. 03-May-01 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A NONE DAY "Le'Chris Health Systems of Greenville, Inc." "2050 Eastgate Drive, Suite E" Greenville NC 27858 "2050 Eastgate Drive, Suite E" Greenville NC 27858 Pitt (252)353-8452 Le'Chris Systems of Greenville 120345 MHL-016-042 "LeChris Counseling Services, Inc." 26-Jul-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Chatham Learning Center Day Treatment 3332 Bridges Street Morehead City NC 28557 201 Chatham Street Newport NC 28570 Carteret (252)622-9557 "LeChris Counseling Services, Inc." 080740 MHL-074-197 "LeChris Health Systems of Greenville, Inc." 14-Nov-08 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY LeChris Health Sys. of Greenville /dba The Pirate Hous 130 Jones Road Rocky Mount NC 27804 "1414 Charles Boulevard, Suite C" Greenville NC 27858-4453 Pitt (252)413-0394 "LeChris Health Systems of Greenville, Inc." 051098 MHL-025-185 "LeChris Health Systems of New Bern, Inc." 02-May-02 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "LeChris Health Systems of New Bern, Inc." "1822 S. Glenburnie Road, Ste. 352" New Bern NC 28562 1405 South Glenburnie Road New Bern NC 28562 Craven (252)636-6105 020857 MHL-034-158 LeRoy W. Glenn Jr. 09-Aug-02 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Glenn's Assessment and Counseling Service 8005 North Point Blvd Suite A Winston-Salem NC 27106 8005 North Point Blvd Suite A Winston-Salem NC 27106 Forsyth (336)896-9990 020857 MHL-034-158 LeRoy W. Glenn Jr. 09-Aug-02 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Glenn's Assessment and Counseling Service 8005 North Point Blvd Suite A Winston-Salem NC 27106 8005 North Point Blvd Suite A Winston-Salem NC 27106 Forsyth (336)896-9990 000105 MHL-039-027 Learning Services Corporation 23-Apr-01 01-Jan-13 31-Dec-13 Type A 29-Apr-08 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Learning Services Neurobehavioral Institute 807 Recovery Drive Creedmoor NC 27522 807 Recovery Drive Creedmoor NC 27522 Granville (919)529-1241 011171 MHL-039-031 Learning Services Corporation 12-Apr-02 01-Jan-13 31-Dec-13 Type A 22-Apr-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Learning Services Neurobehavioral Institute 2 807 Recovery Drive Creedmoor NC 27522 800 Recovery Drive Creedmoor NC 27522 Granville (919)529-1241 Robert Mendel 921599 MHL-032-022 Learning Services Corporation 01-Oct-87 01-Jan-13 31-Dec-13 Type B 31-Jan-12 - - 18 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL Carolina 707 Morehead Avenue Durham NC 27707 707 Morehead Avenue Durham NC 27707 Durham (919)419-9955 040358 MHL-092-619 Learning Services Corporation 01-Dec-90 01-Jan-13 31-Dec-13 Type A 02-Dec-11 - - 12 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL Learning Services-River Ridge 5301 Robbins Drive Raleigh NC 27610 5301 Robbins Drive Raleigh NC 27610 Wake (919)255-9595 Learning Svcs. Corp. 956291 MHL-032-121 Learning Services Corporation 26-Jul-95 01-Jan-13 31-Dec-13 - - - - 5 27G.5600A Supervised Living MI Adult A NONAMB2 RESIDENTL Carolina V 707 Morehead Avenue Durham NC 27707 914 Shepherd Street Durham NC 27707 Durham (919)419-9955 Learning Services Corporation 920662 MHL-053-039 "Lee County Group Homes, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Lee County Group Home, Inc. # I" P.O. Box 1373 Sanford NC 27331 3101 Carbonton Road Sanford NC 27330 Lee (919)774-6647 "Lee County Group Homes, Inc." 920663 MHL-053-041 "Lee County Group Homes, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type B 06-Oct-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lee County Group Home II PO Box 1373 Sanford NC 27330 2412 Knollwood Drive Sanford NC 27330 Lee (919)776-7822 "Lee County Group Homes, Inc." 060307 MHL-053-051 "Lee County Industries, Inc." 02-Jun-06 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs NONE NONE DAY Lee County Industries Inc. 2711 Tramway Road Sanford NC 27332 2711 Tramway Road Sanford NC 27332 Lee (919)775-3439 120366 MHL-077-065 "Let's Talk Therapy Services, Inc." 18-Oct-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Let's Talk Educational Center PO Box 44122 Fayetteville NC 28309 1227 Rockingham Road Rockingham NC 28379 Richmond (910)817-9192 "Let's Talk Therapy Services, Inc." 111021 MHL-041-777 Letithia P. Parker 22-Mar-06 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Tangle Drive Group Home 602 Tangle Drive Jamestown NC 27282 602 Tangle Drive Jamestown NC 27282 Guilford (336)885-9012 A Place for TJ Healthcare 120336 MHL-017-022 Levan Place 28-Jan-10 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Levan Place PO Box 393 Reidsville NC 27320 281 W. Main Street Yanceyville NC 27379 Caswell (336)520-4024 110807 MHL-064-128 Lewis E. Williams 09-Nov-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL House of Hope 1640 Bridgedale Drive Rocky Mount NC 27803 1640 Bridgedale Drive Rocky Mount NC 27803 Nash (252)442-7146 Lewis E. Williams 040950 MHL-064-132 Lewis E. Williams 02-May-12 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL My Brother's Keeper II 1021 Gold Rock Road Rocky Mount NC 27804 1021 Gold Rock Road Rocky Mount NC 27804 Nash (252)442-2725 Beatrice Petway 981097 MHL-087-005 "Liberty Corner Enterprises, Inc." 09-Nov-98 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bryson City Home 147 Coxe Avenue Asheville NC 28801 30 Arlington Extension Bryson City NC 28713 Swain (828)488-0292 010330 MHL-011-214 "Liberty Corner Enterprises, Inc." 19-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Clearview Terrace 147 Coxe Ave Asheville NC 28801 521 Clearview Terrace Asheville NC 28801 Buncombe (828)251-5515 970408 MHL-011-096 "Liberty Corner Enterprises, Inc." 16-Nov-94 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Marne 147 Coxe Ave. Asheville NC 28801 62 Marne Road Asheville NC 28803 Buncombe (828)253-6742 "Liberty Corner Enterprises, Inc." 980807 MHL-044-023 "Liberty Corner Enterprises, Inc." 17-Aug-98 01-Jan-13 31-Dec-13 Type B 15-Mar-13 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Dogwood Acres 147 Coxe Avenue Asheville NC 28801 211 Nellie John Drive Clyde NC 28721 Haywood (828)627-1997 "Liberty Corner Enterprises, Inc." 980997 MHL-011-167 "Liberty Corner Enterprises, Inc." 23-Oct-98 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Farm School Road Home 147 Coxe Avenue Asheville NC 28801 23 Old Farm School Road Asheville NC 28805 Buncombe (828)299-9508 "Liberty Corner Enterprises, Inc." 051199 MHL-011-268 "Liberty Corner Enterprises, Inc." 16-Mar-06 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Windemere 147 Coxe Ave. Asheville NC 28801 65 Lee's Creek Rd. Asheville NC 28806 Buncombe (828)254-9917 120573 MHL-044-061 "Liberty Corner Enterprises, Inc." 25-Jan-13 25-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Balsam Road Home 147 Coxe Avenue Asheville NC 28801 35 Aquifer Brae Lane Waynesville NC 28786 Haywood (828)456-7510 "Liberty Corner Enterprises, Inc." 041207 MHL-092-728 "Life Changez, Inc." 25-Sep-08 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Pine Forest II "8410 Six Forks Rd., Ste. 104" Raleigh NC 27615 3833 Buffaloe Road Raleigh NC 27604 Wake (919)239-4299 "Life Changez, Inc." 040542 MHL-092-795 "Life Changez, Inc." 18-Nov-10 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Life Skills Independent Care #1 "8410 Six Forks Rd., Ste. 104" Raleigh NC 27615 800 Perry Howard Road Fuquay Varina NC 27526 Wake (919)577-0021 "Life Changez, Inc." 100082 MHL-078-292 "Life Changing Behavioral Health Services, LLC" 18-Nov-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Life Changing Behavioral Health Services, LLC" PO Box 766 Fairmont NC 28340 304 South Main Street Fairmont NC 28340 Robeson (910)628-6476 030785 MHL-078-150 "Life Opportunities, Inc." 13-Oct-03 01-Jan-13 31-Dec-13 Type B 20-Sep-12 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Hope House PO Box 448 Shannon NC 28386 3775 Old Lowery Road Red Springs NC 28377 Robeson (910)843-1330 "Life Opportunities, Inc." 031087 MHL-078-159 "Life Opportunities, Inc." 03-Mar-04 01-Jan-13 31-Dec-13 Type B 21-Sep-12 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL A Better Way Residential Services PO Box 448 Shannon NC 28386 220 Calvins Road Shannon NC 28386 Robeson (910)359-0173 "Life Opportunities, Inc." 110218 MHL-054-152 "Life Touch, LLC" 13-May-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Life Touch, LLC" 702 College Street Kinston NC 28501 702 College Street Kinston NC 28501 Lenoir (252)527-3300 "Life Touch, LLC" 110218 MHL-054-152 "Life Touch, LLC" 13-May-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Life Touch, LLC" 702 College Street Kinston NC 28501 702 College Street Kinston NC 28501 Lenoir (252)527-3300 "Life Touch, LLC" 921644 MHL-025-001 "Life, Inc." 06-Oct-88 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Life, Inc./Cherry Lane" 2609 Royall Ave. Goldsboro NC 27534 1104 Cherry Lane New Bern NC 28560 Craven (252)633-5565 "Life, Inc." 921857 MHL-010-008 "Life, Inc." 07-Apr-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Life, Inc./Folly Street Group Home" 2609 Royall Ave Goldsboro NC 27534 65 Folly Street SW Supply NC 28462 Brunswick (910)754-2855 "Life, Inc." 921906 MHL-042-006 "Life, Inc." 01-Dec-86 01-Jan-13 31-Dec-13 Type A 10-Dec-10 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Life, Inc./ Georgia Avenue" 2609 Royal Avenue Goldsboro NC 27534 700 Georgia Ave. Roanoke Rapids NC 27870 Halifax (252)535-5660 "Life, Inc." 922027 MHL-042-009 "Life, Inc." 01-Aug-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Idlewood Group Home 2609 Royall Avenue Goldsboro NC 27534 28 Wood Glenn Road Roanoke Rapids NC 27870 Halifax (252)537-4386 922027 MHL-042-009 "Life, Inc." 01-Aug-90 01-Jan-13 31-Dec-13 - - - - 0 27G.5600A Supervised Living MI Adult Idlewood Group Home 2609 Royall Avenue Goldsboro NC 27534 28 Wood Glenn Road Roanoke Rapids NC 27870 Halifax (252)537-4386 922097 MHL-042-010 "Life, Inc." 01-Oct-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600B Supervised Living DD Minor C MR/DD RESIDENTL ICF "LIFE, Inc./ Lakeview" 2609 Royall Ave. Goldsboro NC 27534 102 Midway Lane Roanoke Rapids NC 27870 Halifax (252)535-4031 922100 MHL-096-003 "Life, Inc." 01-Apr-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Life, Inc./William Street Home" 2609 Royall Avenue Goldsboro NC 27534 407 North William Street Goldsboro NC 27530 Wayne (919)734-1402 "Life, Inc." 922110 MHL-025-014 "Life, Inc." 25-Jul-88 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Life, Inc./Lavenham Group Home" 2609 Royall Avenue Goldsboro NC 27533 3700 Lavenham Road New Bern NC 28560 Craven (252)633-5559 "LIFE, Inc. / Lavenham Group Home" 922152 MHL-010-009 "Life, Inc." 07-Apr-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Life, Inc./Lockwood Street Group Home" 2609 Royall Ave. Goldsboro NC 27534 156 Country Side Drive Supply NC 28462 Brunswick (910)754-2854 "Life, Inc." 922202 MHL-098-012 "Life, Inc." 01-Nov-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF McKeel Loop Road Home 2609 Royall Avenue Goldsboro NC 27534 5910 Farmwood Loop Road Wilson NC 27893 Wilson (252)291-9647 922323 MHL-025-013 "Life, Inc." 15-Jul-88 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Life, Inc./Oakdale Home" 2609 Royall Avenue Goldsboro NC 27534 907 Oakdale Ave New Bern NC 28560 Craven (252)636-1288 "Life, Inc." 922436 MHL-098-011 "Life, Inc." 01-Aug-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Life/Raven Ridge Group Home 2609 Royall Avenue Goldsboro NC 27534 4105 Raven Ridge Drive Wilson NC 27893 Wilson (252)291-8348 "Life, Inc." 925415 MHL-094-004 "Life, Inc." 30-Jan-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Life, Inc/ Wilson Street Group Home" 2609 Royall Ave. Goldsboro NC 27534 1116 Wilson Street Extension Plymouth NC 27962 Washington (252)793-6440 925427 MHL-094-003 "Life, Inc." 30-Jan-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Life, Inc./Old Roper Road Group Home" 2609 Royall Ave. Goldsboro NC 27534 206 A Old Roper Road Plymouth NC 27962 Washington (252)793-9177 944505 MHL-021-005 "Life, Inc." 21-Feb-94 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Luke Street 2609 Royall Avenue Goldsboro NC 27534 206 Luke Street Edenton NC 27932 Chowan (252)482-8900 "Life, Inc." 955501 MHL-007-013 "Life, Inc." 10-Mar-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL ICF "Life, Inc./Slatestone Road Group Home" 2609 Royall Ave. Goldsboro NC 27534 332 Slatestone Road Washington NC 27889 Beaufort (252)946-9055 Life Inc. 955544 MHL-058-006 "Life, Inc." 24-Mar-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL ICF "Life, Inc./Twin Acres Group Home" 2609 Royall Avenue Goldsboro NC 27534 2767 Wildcat Road Williamston NC 27892 Martin (252)792-9158 Barbara W. Parker 955733 MHL-021-006 "Life, Inc." 12-Jun-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "LIFE, Inc./Albemarle Group Home" 2609 Royall Ave. Goldsboro NC 27534 243 Coke Avenue Edenton NC 27932 Chowan (252)482-7909 "Life, Inc." 955734 MHL-021-007 "Life, Inc." 12-Jun-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "LIFE, Inc./Chowan Group Home" 2609 Royall Avenue Goldsboro NC 27534 249 Coke Avenue Edenton NC 27932 Chowan (252)482-5456 "Life, Inc." 955735 MHL-021-008 "Life, Inc." 12-Jun-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "LIFE, Inc./Coke Avenue Group Home" 2609 Royall Avenue Goldsboro NC 27534 255 Coke Avenue Edenton NC 27932 Chowan (252)482-8121 "Life, Inc." 960327 MHL-007-016 "Life, Inc." 21-May-96 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Life, Inc./Washington Day Program" 2609 Royall Ave. Goldsboro NC 27534 1502 Market Street Washington NC 27889 Beaufort (252)974-2600 "Life, Inc." 960328 MHL-025-087 "Life, Inc." 21-May-96 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Life, Inc./New Bern Day Program" 2609 Royall Ave. Goldsboro NC 27534 "2717 Neuse Blvd, Homestead Sq. #B" New Bern NC 28563 Craven (252)636-1090 "Life, Inc." 970428 MHL-042-028 "Life, Inc." 05-Feb-98 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Life Inc./King Street Group Home 2609 Royall Avenue Goldsboro NC 27534 117 King Street Halifax NC 27839 Halifax (252)583-1984 970429 MHL-042-027 "Life, Inc." 05-Feb-98 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF McFarland Road 2609 Royall Ave Goldsboro NC 27534 214 McFarland Road Enfield NC 27832 Halifax (252)445-1498 "Life, Inc." 922162 MHL-021-013 "Life, Inc." 01-Oct-06 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Luke Street Facility-Edenton 2609 Royall Avenue Goldsboro NC 27534 200 Luke Street Edenton NC 27932 Chowan (252)482-8746 "Life, Inc." 922734 MHL-070-041 "Life, Inc." 01-Oct-06 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Scott House 2609 Royall Avenue Goldsboro NC 27534 801 Second Street Elizabeth City NC 27909 Pasquotank (252)338-1304 "Life, Inc." 922876 MHL-015-004 "Life, Inc." 01-Oct-06 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Wickham Road Facility 2609 Royal Avenue Goldsboro NC 27534 258 Wickham Road Shiloh NC 27974 Camden (252)336-4142 "Life, Inc" 944915 MHL-027-007 "Life, Inc." 01-Oct-06 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Currituck Home 2609 Royall Avenue Goldsboro NC 27534 139 Barnard Road Grandy NC 27939 Currituck (252)453-4857 "Life, Inc." 922477 MHL-028-013 "Life, Inc." 01-Oct-06 01-Jan-13 31-Dec-13 Type B 23-May-11 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Roanoke Trail Facility 2609 royall Avenue Goldsboro NC 27534 185 Roanoke Trail Manteo NC 27954 Dare (252)473-2137 "Life, Inc." 944716 MHL-072-007 "Life, Inc." 01-Oct-06 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Perquimans County Group Home 2609 Royall Avenue Goldsboro NC 27534 142 Riverwood Drive Hertford NC 27944 Perquimans (252)426-1926 "Life, Inc." 080415 MHL-010-064 "Life, Inc." 24-Jul-08 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MD DAY "LIFE, Inc. /Leland Day Program" 2609 Royall Ave. Goldsboro NC 27534 117 J Village Road Leland NC 28451 Brunswick (910)371-0230 "LIFE, Inc." 100926 MHL-096-112 "Life, Inc." 04-Jan-00 01-Jan-13 31-Dec-13 Type B 21-Sep-11 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Life, Inc. / Goldsboro Day Program" 2609 Royall Avenue Goldsboro NC 27534 2609 Royall Avenue Goldsboro NC 27534 Wayne (919)778-1900 010382 MHL-078-305 LifeBridges Drug & Substance Abuse Inc. 12-Apr-13 12-Apr-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY LifeBridges Drug & Substance Abuse Inc. 2501 Elizabethtown Road Lumberton NC 28358 2501 Elizabethtown Road Lumberton NC 28358 Robeson (910)738-7880 120417 MHL-090-085 LifeSpan Inc. 08-Apr-98 01-Jan-13 31-Dec-13 - - - - 0 27G.2200 "School Year, Before/After School and Summer DD Services" C MR/DD DAY LifeSpan-Union County 1103 Icemorlee Street Monroe NC 28110 1103 Icemorlee Street Monroe NC 28110 Union (704)291-2332 LifeSpan Inc. 120417 MHL-090-085 LifeSpan Inc. 08-Apr-98 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY LifeSpan-Union County 1103 Icemorlee Street Monroe NC 28110 1103 Icemorlee Street Monroe NC 28110 Union (704)291-2332 LifeSpan Inc. 120417 MHL-090-085 LifeSpan Inc. 08-Apr-98 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY LifeSpan-Union County 1103 Icemorlee Street Monroe NC 28110 1103 Icemorlee Street Monroe NC 28110 Union (704)291-2332 LifeSpan Inc. 070690 MHL-007-038 "Lifequest, Inc." 14-Jan-04 02-Apr-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Lifequest, Inc." 230 East 8th Street Washington NC 27889 230 East 8th Street Washington NC 27889 Beaufort (252)975-8080 Angela Hardison 070690 MHL-007-038 "Lifequest, Inc." 14-Jan-04 02-Apr-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY "Lifequest, Inc." 230 East 8th Street Washington NC 27889 230 East 8th Street Washington NC 27889 Beaufort (252)975-8080 Angela Hardison 090342 MHL-060-643 Lifespan Incorporated 30-Apr-01 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MD DAY Lifespan Graham 601 North Graham Street Charlotte NC 28202 601 North Graham Street Charlotte NC 28202 Mecklenburg (704)333-7107 Lifespan 090342 MHL-060-643 Lifespan Incorporated 30-Apr-01 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Lifespan Graham 601 North Graham Street Charlotte NC 28202 601 North Graham Street Charlotte NC 28202 Mecklenburg (704)333-7107 Lifespan 100302 MHL-084-034 Lifespan Incorporated 02-Apr-98 01-Jan-13 31-Dec-13 - - - - 0 27G.2200 "School Year, Before/After School and Summer DD Services" C&ADOL MR/DD DAY Lifespan-Albemarle 233 Montgomery Ste 1-A Albemarle NC 28001 233 Montgomery Ste 1-A Albemarle NC 28001 Stanly (704)986-6376 Attn: Amy Simmons 100302 MHL-084-034 Lifespan Incorporated 02-Apr-98 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Lifespan-Albemarle 233 Montgomery Ste 1-A Albemarle NC 28001 233 Montgomery Ste 1-A Albemarle NC 28001 Stanly (704)986-6376 Attn: Amy Simmons 100302 MHL-084-034 Lifespan Incorporated 02-Apr-98 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Lifespan-Albemarle 233 Montgomery Ste 1-A Albemarle NC 28001 233 Montgomery Ste 1-A Albemarle NC 28001 Stanly (704)986-6376 Attn: Amy Simmons 921514 MHL-060-120 Lifespan Incorporated 01-Mar-91 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Bon Rea Drive Group Home 200 Clanton Road Charlotte NC 28217 3747 Bon Rea Drive Charlotte NC 28226 Mecklenburg (704)541-7334 921849 MHL-060-150 Lifespan Incorporated 01-Jan-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Flowe Drive Group Home 200 Clanton Road Charlotte NC 28217 628 Flowe Drive Charlotte NC 28213 Mecklenburg (704)598-6002 LifeSpan Attn:Christopher White 922495 MHL-086-010 Lifespan Incorporated 01-May-89 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A NONAMB1 DAY Lifespan 623 Rockford Road Dobson NC 27017 623 Rockford Road Dobson NC 27017 Surry (336)374-4466 922495 MHL-086-010 Lifespan Incorporated 01-May-89 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Lifespan 623 Rockford Road Dobson NC 27017 623 Rockford Road Dobson NC 27017 Surry (336)374-4466 922637 MHL-060-007 Lifespan Incorporated 01-Dec-86 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs C&A MR/DD DAY Lifespan at Kalynne 3127 Kalynne Street Charlotte NC 28208 3127 Kalynne Street Charlotte NC 28208 Mecklenburg (704)393-5916 922637 MHL-060-007 Lifespan Incorporated 01-Dec-86 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&A MD DAY Lifespan at Kalynne 3127 Kalynne Street Charlotte NC 28208 3127 Kalynne Street Charlotte NC 28208 Mecklenburg (704)393-5916 030816 MHL-049-023 Lifespan Incorporated 01-Mar-89 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY LifeSpan @ IVW-Troutman 143 Iredell Avenue Troutman NC 28166 143 Iredell Avenue Troutman NC 28166 Iredell (704)873-5646 LifeSpan @ IVW-Troutman 990150 MHL-060-018 Lifespan Incorporated 05-Jan-87 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Oak Street Group Home-St. Mark 200 Clanton Road Charlotte NC 28217 1801 Oak Street Charlotte NC 28269 Mecklenburg (704)596-4135 080698 MHL-044-041 Lifespan Incorporated 22-Jul-05 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY LifeSpan Enrichment Center 200 Clanton Road Charlotte NC 28217 627 North Main Street Waynesville NC 28786 Haywood (828)452-1720 LifeSpan 080698 MHL-044-041 Lifespan Incorporated 22-Jul-05 01-Jan-13 31-Dec-13 - - - - 0 27G.5100 Community Respite Services A MD DAY LifeSpan Enrichment Center 200 Clanton Road Charlotte NC 28217 627 North Main Street Waynesville NC 28786 Haywood (828)452-1720 LifeSpan 080534 MHL-020-053 Lifespan Incorporated 16-Mar-10 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Lynn Hyde Home 627 N. Main Street Suite One Waynesville NC 28786 208 Taylors Creek Road Andrews NC 28901 Cherokee (828)835-8579 "LifeSpan, Inc." 080534 MHL-020-053 Lifespan Incorporated 16-Mar-10 01-Jan-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services A MD RESIDENTL Lynn Hyde Home 627 N. Main Street Suite One Waynesville NC 28786 208 Taylors Creek Road Andrews NC 28901 Cherokee (828)835-8579 "LifeSpan, Inc." 100691 MHL-041-508 Lifespan Incorporated 15-Oct-98 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY LifeSpan - Guilford 908 McClellan Place Greensboro NC 27409 908 McClellan Place Greensboro NC 27409 Guilford (336)852-1495 "LifeSpan, Incorporated" 921795 MHL-065-013 "Lifetime Resources, Inc." 01-Sep-88 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Lifetime Resources, Inc. Echo Farms Group Home" 1320 S. 16th Street Wilmington NC 28401 220 Dorchester Place Wilmington NC 28412 New Hanover (910)762-1189 "Lifetime Resources, Inc." 921928 MHL-065-014 "Lifetime Resources, Inc." 01-Sep-88 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Greenville Loop Group Home 1320 S. 16th Street Wilmington NC 28405 6100 Greenville Loop Road Wilmington NC 28409 New Hanover (910)762-1189 "Lifetime Resources, Inc." 922262 MHL-065-022 "Lifetime Resources, Inc." 01-Sep-88 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Myrtle Grove Group Home 1320 S. 16th Street Wilmington NC 28401 6732 Myrtle Grove Road Wilmington NC 28409 New Hanover (910)762-1189 "Lifetime Resources, Inc." 110369 MHL-064-126 Lillie B. Lane 05-Aug-11 01-Jan-13 31-Dec-13 Type A 07-Jan-13 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lane's House Adult Group Home 3159 Octavia Drive Rocky Mount NC 27804 3159 Octavia Drive Rocky Mount NC 27804 Nash (252)937-5727 Lillie B. Lane 110740 MHL-079-121 Lillie P. Neal 17-Feb-12 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Vision of Hope 123 Fawn Road Eden NC 27288 906 Sharpe Avenue Eden NC 27288 Rockingham (336)635-0184 Lillie P. Neal 041615 MHL-083-034 Linda M. McLaughlin 13-Dec-05 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sunshine Center PO Box 473 Wagram NC 28396 21880 Center Street Wagram NC 28396 Scotland (910)369-0162 Linda McLaughlin 080787 MHL-071-022 "Linda Newton, Susie Hayes & Cardell Hayes" 16-Aug-06 01-Jan-13 31-Dec-13 Type B 29-May-12 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL A Special Touch 5925 NC Highway 11 Willard NC 28478 5925 NC Highway 11 Willard NC 28478 Pender (910)285-7717 "A Special Touch, Inc." 956880 MHL-067-026 Linda Shorts 19-Oct-95 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&A MD RESIDENTL Linda Shorts Home 180 Coastal Lane Jacksonville NC 28546 106 Grantham Lane Jacksonville NC 28546 Onslow (910)455-6724 "Anna's Care, Inc." 080902 MHL-063-089 Linden Lodge Foundation 01-May-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Linden Lodge PO Box 4153 Pinehurst NC 28374 2251 Linden Road Aberdeen NC 28315 Moore (910)295-0600 "Attn: Marianne P. Kernan, Chairman" 120309 MHL-065-240 "Lindley Habilitation Services, LLC" 18-Jul-12 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY Lindley College "108 N Kerr Avenue, Unit J-1" Wilmington NC 28405 "108 North Kerr Avenue, Unit K2" Wilmington NC 28405 New Hanover (910)859-7196 "Lindley Habilitation Services, LLC" 120615 MHL-041-1012 "Lindley Habilitation Services, LLC" 01-Apr-11 07-Jan-13 07-Jul-13 - - - - 0 27G.5400 Day Activity A MI DAY Lindley College "4214 Beechwood Dr., Ste. 101" Greensboro NC 27410 "4259 Piedmont Parkway, Suite 114" Greensboro NC 27410 Guilford (336)852-5455 "Lindley Habilitation Services, LLC" 061362 MHL-032-406 Lisa S Pettiford/ Robert Jones 09-Mar-07 01-Jan-13 31-Dec-13 Type A 07-Oct-10 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Care Health Services 1 PO Box 15335 Durham NC 27704 502 Hugo Street Durham NC 27704 Durham (919)220-9084 Care Health Services 030752 MHL-032-407 Lisa S. Pettiford/ Robert Jones 09-Mar-07 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Care Health Services II P O Box 15335 Durham NC 27704 2801 Darrow Road Durham NC 27704 Durham (919)682-8452 Lisa Pettiford 090038 MHL-096-203 Lisa W. Barwick 30-Jan-08 01-Jan-13 31-Dec-13 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Angel Wings Group Home 311 Gainey Drive Goldsboro NC 27530 7004 Summitt Drive Goldsboro NC 27530 Wayne (919)736-0059 Carl B Barwick 101189 MHL-092-805 "Living With Autism, Inc." 19-Jan-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600B Supervised Living DD Minor C MR/DD RESIDENTL "Living With Autism, Inc." 102 Solitude Way Cary NC 27518 2817 Tobermory Lane Raleigh NC 27606 Wake (919)917-7681 110941 MHL-054-162 "Living Your Dream, LLC" 30-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Living Your Dream, LLC" P.O. Box 350 Greenville NC 27835 709 Plaza Drive Kinston NC 28504 Lenoir (252)208-7120 990069 MHL-092-339 Lola M. Kersey 05-Jan-92 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Kersey Home 1208 Armstrong Circle Raleigh NC 27610 1208 Armstrong Circle Raleigh NC 27610 Wake (919)821-7926 Kersey Home 120530 MHL-026-937 "Longmire's Counseling, Consulting & Training, LLC" 31-Dec-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Longmire's Counseling, Consulting, and Training LLC" PO Box 35788 Fayetteville NC 28303 "5114 Yadkin Road, Suite 128" Fayetteville NC 28303 Cumberland (910)867-7622 "Longmire's Counseling, Consulting, & Training, LLC" 120530 MHL-026-937 "Longmire's Counseling, Consulting & Training, LLC" 31-Dec-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Longmire's Counseling, Consulting, and Training LLC" PO Box 35788 Fayetteville NC 28303 "5114 Yadkin Road, Suite 128" Fayetteville NC 28303 Cumberland (910)867-7622 "Longmire's Counseling, Consulting, & Training, LLC" 100025 MHL-064-117 Loving Care Supervised Living Group LTD Partnership 30-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Loving Care Group Intervention Center 101 Patrick Court Rocky Mount NC 27804 101 Patrick Court Rocky Mount NC 27804 Nash (252)937-1096 "Loving Care Supervised Living Group, Ltd." 061268 MHL-018-088 Luca's Hope 10-Nov-05 01-Jan-13 31-Dec-13 Type B 22-Aug-12 - - 3 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Luca's Hope PO Box 442 Sherrills Ford NC 28673 7947 Stillwater Drive Sherrills Ford NC 28673 Catawba (828)228-7309 Valarie Stanback / Keoshia Walden 050898 MHL-032-366 Lucia Hinton 11-Apr-06 01-Jan-13 31-Dec-13 Type B 04-Jan-12 - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Caring Hands and Supplementary Enrichment Education 2216 S. Miami Blvd Suite 101 Durham NC 27705 14 Chownings St Durham NC 27713 Durham (919)450-0944 Caring Hands and Supplementary Enrichment Ed. 010537 MHL-040-018 "Lucille's Behavioral, Inc." 24-Aug-01 01-Jan-13 31-Dec-13 Type B 23-Sep-08 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Lucille's Behavioral, Inc." 204 Highway 58 North Snow Hill NC 28580 204 Highway 58 North Snow Hill NC 28580 Greene (252)747-2451 "Lucille's Behavioral, Inc." 010537 MHL-040-018 "Lucille's Behavioral, Inc." 24-Aug-01 01-Jan-13 31-Dec-13 Type B 23-Sep-08 - - 3 27G.5100 Community Respite Services NONE MD RESIDENTL "Lucille's Behavioral, Inc." 204 Highway 58 North Snow Hill NC 28580 204 Highway 58 North Snow Hill NC 28580 Greene (252)747-2451 "Lucille's Behavioral, Inc." 051383 MHL-040-030 "Lucille's Behavioral, Inc." 09-Mar-06 01-Jan-13 31-Dec-13 Type A 27-Jul-11 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Lucille's Behavioral, Inc. #2" 204 Hwy 58 North Snow Hill NC 28580 351 Holloman Road Walstonburg NC 27888 Greene (252)753-4888 110332 MHL-040-043 "Lucille's Behavioral, Inc." 16-Apr-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Lucille's Behavioral, Inc." One Professional Drive Snow Hill NC 28580 414-F Kingold Blvd. Snow Hill NC 28580 Greene (252)747-3450 110332 MHL-040-043 "Lucille's Behavioral, Inc." 16-Apr-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Lucille's Behavioral, Inc." One Professional Drive Snow Hill NC 28580 414-F Kingold Blvd. Snow Hill NC 28580 Greene (252)747-3450 922161 MHL-092-092 Lucy Daniels Center 01-Aug-91 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Lucy Daniels Center for Early Childhood 9003 Weston Parkway Cary NC 27513 9003 Weston Parkway Cary NC 27513 Wake (919)677-1400 Lucy Daniels Center 040554 MHL-047-086 Lucy Sharp 13-Jul-04 01-Jan-13 31-Dec-13 Type A 05-May-06 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sharper Images 3203 McChoen Drive Fayetteville NC 28301 303 Woodberry Circle Raeford NC 28376 Hoke (910)875-3146 Sharper Images 021291 MHL-092-757 Luella Tate 04-Jan-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Welcome Home P.O. Box 25752 Raleigh NC 27611 1041 Huntsboro Road Knightdale NC 27545 Wake (919)295-5017 Luella Tate 040123 MHL-092-585 Luella Tate 23-Feb-04 01-Jan-13 31-Dec-13 Type A 30-May-12 - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Brost Court PO Box 25752 Raleigh NC 27611 4512 Brost Court Raleigh NC 27616 Wake (919)758-8047 Luella Tate 110374 MHL-078-282 "Lumberton Treatment Center, LLC" 24-Jun-11 01-Jan-13 31-Dec-13 Type A 28-Jun-12 - - 0 27G.3600 Outpatient Methadone A SAS DAY Lumberton Treatment Center 1112 Silver Oaks Court Raleigh NC 27614 2200 Clybourn Church Road Lumberton NC 28358 Robeson (910)739-9160 "Lumberton Treatment Center, LLC" 921335 MHL-092-475 Lutheran Family Services in the Carolinas 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Whittecar Group Home 3257 Lake Woodard Drive Raleigh NC 27604 3257 Lake Woodard Drive Raleigh NC 27604 Wake (919)231-1399 921983 MHL-034-045 Lutheran Family Services in the Carolinas 01-Apr-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Wilson Smith Cottage PO Box 12818 Winston Salem NC 27117 185 Martindale Road Winston Salem NC 27107 Forsyth (336)785-3813 Lutheran Family Services 922255 MHL-036-031 Lutheran Family Services in the Carolinas 01-May-89 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB2 RESIDENTL ICF Mountain Ridge Group Home PO Box 550834 Gastonia NC 28055 810 King Arthur Drive Gastonia NC 28054 Gaston (704)824-8941 Lutheran Family Services in the Carolinas 030658 MHL-034-174 Lutheran Family Services in the Carolinas 09-Dec-03 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lippard Lodge 6590 Rollingwood Drive Clemmons NC 27012 6590 Rollingwood Drive Clemmons NC 27012 Forsyth (336)766-9833 Lutheran Family Services in the Carolinas 070410 MHL-041-850 Lydia's Home LLC 19-Oct-07 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Lydia's Home LLC Phase I 5063 Bartholomew Lane Greensboro NC 27407 2704 Grimsley Street Greensboro NC 27403 Guilford (336)855-6937 Melissa LeGette 120156 MHL-041-1045 Lydia's Home LLC 24-May-12 01-Jan-13 31-Dec-13 - - - - 4 27G.1300 Residential Treatment Level II ADOL MI RESIDENTL "Lydia's Home, LLC Phase 2" PO Box 49535 Greensboro NC 27419 716 Prince Road Greensboro NC 27455 Guilford (336)855-6937 Lydia's Home LLC 070598 MHL-041-856 Lymus and Shelia Griffin 18-Dec-07 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Griffin Supervised Living 2 Partnership Court Greensboro NC 27405 2 Partnership Court Greensboro NC 27405 Guilford (336)412-5947 Griffin Supervised Living 960848 MHL-041-910 "Lyzzy's Family Care Home and Services, Inc." 19-May-09 01-Jan-13 31-Dec-13 Type A 01-Mar-13 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Lizzy's Family Care & Services, Inc." 110 N. Walnut Circle Greensboro NC 27409 2206 Emerywood Drive Greensboro NC 27403 Guilford (336)617-5683 120211 MHL-049-137 "M & M of the Carolinas, Inc." 23-May-12 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY Mooresville Center for Skill Enhancement PO Box 6254 Gastonia NC 28256 161 McKenzie Road Mooresville NC 28115 Iredell (704)832-3760 "M & M of the Carolinas, Inc." 010595 MHL-041-613 "M & S Supervised Living, LLC" 09-Nov-01 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "M & S Supervised Living, LLC" 7312 Friendship Church Road Brown Summit NC 27214 7311-A Friendship Church Road Browns Summit NC 27214 Guilford (336)656-7809 M/S Supervised Living LLC 100983 MHL-076-106 "M & S Supervised Living, LLC" 17-Nov-11 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL M & S Creekside 7311-A Friendship Church Rd. Brown Summit NC 27214 1141 East Mine Street Asheboro NC 27205 Randolph (336)318-7843 "M & S Supervised Living, LLC" 130108 MHL-041-1072 "M & S Supervised Living, LLC" 27-Mar-13 16-Apr-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY M & S Center For Opportunities 7311-A Friendship Church Road Brown Summit NC 27214 308-L Pomona Drive Greensboro NC 27407 Guilford (336)656-7809 "M & S Supervised Living, LLC" 130108 MHL-041-1072 "M & S Supervised Living, LLC" 27-Mar-13 16-Apr-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY M & S Center For Opportunities 7311-A Friendship Church Road Brown Summit NC 27214 308-L Pomona Drive Greensboro NC 27407 Guilford (336)656-7809 "M & S Supervised Living, LLC" 070794 MHL-047-139 "M&T Enhancement Residential Care, LLC" 03-Mar-11 01-Jan-13 31-Dec-13 Suspension of Admission 05-Nov-12 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL M&T Enhancement Residential Care 126 Davenport Drive Raeford NC 28376 126 Davenport Drive Raeford NC 28376 Hoke (910)848-2286 Micheaux Hollingsworth 041659 MHL-074-159 "MAAL-CARE, LLC" 23-Sep-05 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Evans Home 1801 Barlow Road Tarboro NC 27886 1200 Old Fire Tower Road Winterville NC 28590 Pitt (252)756-5462 "MAAL-CARE, LLC" 091015 MHL-064-129 "MACTA, LLC" 10-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "MACTA, LLC" PO Box 4532 Rocky Mount NC 27803 209 North Pearl Street Rocky Mount NC 27804 Nash (252)937-3016 091015 MHL-064-129 "MACTA, LLC" 10-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY "MACTA, LLC" PO Box 4532 Rocky Mount NC 27803 209 North Pearl Street Rocky Mount NC 27804 Nash (252)937-3016 091015 MHL-064-129 "MACTA, LLC" 10-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "MACTA, LLC" PO Box 4532 Rocky Mount NC 27803 209 North Pearl Street Rocky Mount NC 27804 Nash (252)937-3016 050894 MHL-018-033 MH Fund Inc. dba Catawba Valley Behavioral Healthcare 01-Oct-95 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Life Skills Program 327 1st Avenue NW Hickory NC 28601 3060 11th Avenue Dr. SE Hickory NC 28602 Catawba (828)695-2150 050894 MHL-018-033 MH Fund Inc. dba Catawba Valley Behavioral Healthcare 01-Oct-95 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A AMB DAY Life Skills Program 327 1st Avenue NW Hickory NC 28601 3060 11th Avenue Dr. SE Hickory NC 28602 Catawba (828)695-2150 090054 MHL-032-477 MHS Unlimited Corporation 26-Mar-09 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY Happy Landing PO Box 52660 Durham NC 27717 "6 Consultant Place, Suite 200" Durham NC 27707 Durham (919)281-0153 Odessa Johnson 090054 MHL-032-477 MHS Unlimited Corporation 26-Mar-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Happy Landing PO Box 52660 Durham NC 27717 "6 Consultant Place, Suite 200" Durham NC 27707 Durham (919)281-0153 Odessa Johnson 921949 MHL-056-004 "Macon Citizens Habilities, Inc." 01-Jan-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Harrison Avenue Group Home P.O. Box 698 Franklin NC 28744 734 Harrison Avenue Franklin NC 28744 Macon (828)524-8231 922041 MHL-056-005 "Macon Citizens Habilities, Inc." 01-Oct-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Iotla Street Group Home P.O. Box 698 Franklin NC 28744 406 Lotla Street Franklin NC 28734 Macon (828)524-5888 922166 MHL-056-003 "Macon Citizens Habilities, Inc." 01-Feb-89 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Macon County Group Home P.O. Box 698 Franklin NC 28744 170 Second Street Franklin NC 28744 Macon (828)524-5888 922855 MHL-050-014 "Macon Citizens Habilities, Inc." 01-Sep-91 01-Jan-13 31-Dec-13 - - - - 5 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF Webster Group Home PO Box 698 Franklin NC 28744 103 Little Savannah Road Webster NC 28788 Jackson (828)586-3796 922855 MHL-050-014 "Macon Citizens Habilities, Inc." 01-Sep-91 01-Jan-13 31-Dec-13 - - - - 1 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Webster Group Home PO Box 698 Franklin NC 28744 103 Little Savannah Road Webster NC 28788 Jackson (828)586-3796 942605 MHL-050-004 "Macon Citizens Habilities, Inc." 01-Aug-85 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Smoky ICF/MR Group Home PO Box 698 Franklin NC 28744 115 Storybook Lane Sylva NC 28779 Jackson (828)586-9277 956949 MHL-056-009 "Macon Citizens Habilities, Inc." 17-Nov-95 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Yonce House P.O. Box 698 Franklin NC 28744 722 Harrison Avenue Franklin NC 28734 Macon (828)369-3373 041235 MHL-056-018 "Macon Citizens Habilities, Inc." 02-Dec-04 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Macon Citizens Enterprises(MCE) PO Box 698 Franklin NC 28744 913 Lake Emory Road Franklin NC 28734 Macon (828)524-5888 080855 MHL-041-914 "Madeleine Village, LLC" 04-Jun-09 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Madeleine Village, LLC" 415 Pisgah Church Road Greensboro NC 27455 1476 Rankin Mill Road Mc Leansville NC 27301 Guilford (336)617-3356 Viviane L. Lea 000109 MHL-026-552 Mae Brown 24-Feb-00 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Brown Therapeutic Home 604 Monagan Street Fayetteville NC 28301 604 Monagan Street Fayetteville NC 28301 Cumberland (910)483-6115 070293 MHL-041-864 "Mag's House Group Homes, Inc." 01-Feb-08 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Mag's House II PO Box 16844 Greensboro NC 27416 1104 West Meadowview Road Greensboro NC 27406 Guilford (336)255-5152 "Mag's House Group Homes, Inc." 110837 MHL-041-890 "Majestic Solutions, LLC" 24-Nov-08 01-Jan-13 31-Dec-13 - - - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL "Majestic Solutions, LLC" PO Box 1535 Greensboro NC 27402 1115 Centennial Street High Point NC 27262 Guilford (336)434-0185 090730 MHL-032-507 "Makin' Choices, Inc." 16-Oct-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Makin' Choices, Inc." "2000 Chapel Hill Road, Suite 23" Durham NC 27707 "2000 Chapel Hill Road, Suite 23" Durham NC 27707 Durham (919)490-8041 "Makin' Choices, Inc." 090730 MHL-032-507 "Makin' Choices, Inc." 16-Oct-09 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MD DAY "Makin' Choices, Inc." "2000 Chapel Hill Road, Suite 23" Durham NC 27707 "2000 Chapel Hill Road, Suite 23" Durham NC 27707 Durham (919)490-8041 "Makin' Choices, Inc." 090730 MHL-032-507 "Makin' Choices, Inc." 16-Oct-09 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY "Makin' Choices, Inc." "2000 Chapel Hill Road, Suite 23" Durham NC 27707 "2000 Chapel Hill Road, Suite 23" Durham NC 27707 Durham (919)490-8041 "Makin' Choices, Inc." 120209 MHL-032-579 Margaret E. Blaine 11-Oct-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Warm Hands Kind Hearts 941 Spring Meadow Drive Durham NC 27713 941 Spring Meadow Drive Durham NC 27713 Durham (919)493-3002 Margaret E. Blaine 991052 MHL-064-052 Margaret Hyman-Brinkley 21-Oct-99 01-Jan-13 31-Dec-13 Type A 23-Jul-10 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Loving Care Supervised Living 209 Overton Drive Rocky Mount NC 27804 209 Overton Drive Rocky Mount NC 27804 Nash (252)210-3182 101050 MHL-041-1005 Marian Wallace 31-Jan-11 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL De-Borah's Hope House 3113 McConnell Road Greensboro NC 27405 3113 McConnell Road Greensboro NC 27405 Guilford (336)274-1988 Marion Wallace 990343 MHL-024-046 Marion Harper 15-Apr-99 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Harper Home 801 Wilson Street Whiteville NC 28472 211 East Lewis Street Whiteville NC 28472 Columbus (910)640-1285 Marion Harper 944359 MHL-058-004 "Martin Co. Res. Serv., Inc. d.b.a. Martin Enterprises" 26-Jan-94 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Martin Enterprises ARC Group Home PO Box 1042 Williamston NC 27892 310 North Haines Street Williamston NC 27892 Martin (252)792-5435 Martin Enterprises 922207 MHL-058-003 "Martin Co. Res. Servs., Inc. d/b/a Martin Enterprises" 01-Nov-89 01-Jan-13 31-Dec-13 Type A 12-Apr-13 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL McLawhorne Home PO Box 1042 Williamston NC 27892 1044 McLawhorne Road Robersonville NC 27871 Martin (252)795-5396 Martin Enterprises 922186 MHL-058-002 "Martin County Residential Services, Inc." 01-Jul-85 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Martin Enterprises PO Box 1042 Williamston NC 27892 6003 West Main Street EXT. HWY 64 W Williamston NC 27892 Martin (252)792-8251 Martin Enterprises 922186 MHL-058-002 "Martin County Residential Services, Inc." 01-Jul-85 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Martin Enterprises PO Box 1042 Williamston NC 27892 6003 West Main Street EXT. HWY 64 W Williamston NC 27892 Martin (252)792-8251 Martin Enterprises 990235 MHL-092-351 Mary Lilly McCullers 15-Mar-99 01-Jan-13 31-Dec-13 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Mary's Manor III 5641 Quail Covey Lane Wendell NC 27591 4208 Labrador Drive Raleigh NC 27616 Wake (919)261-0572 Mary McCullers-Jackson 971358 MHL-092-292 Mary F. Alston 08-Oct-97 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MD RESIDENTL Alston Home 428 Tippett Road Zebulon NC 27597 428 Tippett Road Zebulon NC 27597 Wake (919)269-0404 120041 MHL-033-114 Mary Hyman 30-Jul-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Illumi-Nation Care Home-Adult AFL 7806 Highway 42 East Tarboro NC 27886 7806 Highway 42 East Tarboro NC 27886 Edgecombe (252)641-0020 Mary Bryant 020908 MHL-092-516 Mary Lilly McCullers 23-Oct-02 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Mary's Manor II 5641 Quail Covey Lane Wendell NC 27591 501 Bunn Street Zebulon NC 27597 Wake (919)269-3060 Mary McCullers-Jackson 010421 MHL-092-460 Mary McCullers-Jackson 19-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Mary's Manor 5641 Quail Covey Lane Wendell NC 27591 228 Gail Ridge Lane Wendell NC 27591 Wake (919)266-9876 Mary McCullers-Jackson 010421 MHL-092-460 Mary McCullers-Jackson 19-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5100 Community Respite Services NONE MI RESIDENTL Mary's Manor 5641 Quail Covey Lane Wendell NC 27591 228 Gail Ridge Lane Wendell NC 27591 Wake (919)266-9876 Mary McCullers-Jackson 921959 MHL-001-201 Mary N. Woods 29-Jun-10 01-Jan-13 31-Dec-13 Type A 22-Mar-12 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Union Avenue Group Home 210 Union Avenue Burlington NC 27217 210 Union Avenue Burlington NC 27217 Alamance (336)228-9376 Mary N. Woods 970685 MHL-041-199 Mary Wilson 06-Jun-97 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living ADOL&A MI RESIDENTL Broadview House 304 Broadview Street Greensboro NC 27405 304 Broadview Street Greensboro NC 27405 Guilford (336)954-9200 970908 MHL-041-228 "Mary's House, Inc." 14-Jan-98 01-Jan-13 31-Dec-13 Type A 24-Apr-09 - - 24 27G.4100 Therapeutic Homes for Individuals With SA Disorders And C&A SAS RESIDENTL Mary's House 520 Guilford Avenue Greensboro NC 27401 520 Guilford Avenue Greensboro NC 27401 Guilford (336)275-0820 120166 MHL-060-1255 "Maximum Impact, Inc." 05-Dec-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Maximum Impact "800 Briar Creek Road, Ste AA -408" Charlotte NC 28205 "800 Briar Creek Road, Ste AA-401, 404 & 406" Charlotte NC 28205 Mecklenburg (704)206-1257 "Maximum Impact, Inc." 120166 MHL-060-1255 "Maximum Impact, Inc." 05-Dec-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Maximum Impact "800 Briar Creek Road, Ste AA -408" Charlotte NC 28205 "800 Briar Creek Road, Ste AA-401, 404 & 406" Charlotte NC 28205 Mecklenburg (704)206-1257 "Maximum Impact, Inc." 090981 MHL-074-221 "McCloud & Associates, Inc." 20-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "McCloud & Assoc., Inc. dba True Divine Health Care Svs." PO Box 30765 Greenville NC 27833 2423 Mills Street Suite C Winterville NC 28590 Pitt (252)355-6272 "McCloud & Associates, Inc." 010162 MHL-073-041 McDaniel Home #2 30-Jul-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL McDaniel Home #2 PO Box 1636 Roxboro NC 27573 3830 McGhees Mill Road Semora NC 27343 Person (336)599-7727 Peggy Davis-McDaniel 944718 MHL-073-061 "McDaniel Homes, LLC" 21-Mar-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL McDaniel Home #1 P.O. Box 1636 Roxboro NC 27573 192 Country Club Road Roxboro NC 27573 Person (336)599-5473 "McDaniel Homes, LLC" 922206 MHL-077-046 "McLaurin Vocational Training Center, Inc." 21-Jul-06 01-Jan-13 31-Dec-13 Type A 04-Nov-08 - - 0 27G.2300 Adult Developmental Vocational Programs NONE NONE DAY McLaurin Vocational Training Center Inc 10 N. Bridges St. Hamlet NC 28345 10 N. Bridges Street Hamlet NC 28345 Richmond (910)582-0934 080401 MHL-095-036 "McLeod Addictive Disease Center, Inc." 30-Jul-02 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY McLeod Addictive Disease Center-Watauga 515 Clanton Road Charlotte NC 28217 150 Den Mac Drive Boone NC 28507 Watauga (828)263-8171 "McLeod Addictive Disease Center, Inc." 070254 MHL-036-100 "McLeod Addictive Disease Center, Inc." 01-Jan-97 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY McLeod Addictive Disease Center 515 Clanton Road Charlotte NC 28217 549 Cox Road Gastonia NC 28054 Gaston (704)332-9001 070254 MHL-036-100 "McLeod Addictive Disease Center, Inc." 01-Jan-97 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY McLeod Addictive Disease Center 515 Clanton Road Charlotte NC 28217 549 Cox Road Gastonia NC 28054 Gaston (704)332-9001 030064 MHL-013-101 "McLeod Addictive Disease Center, Inc." 06-Jan-03 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone ADOL&A SAS DAY McLeod Addicitve Disease Center-Concord 515 Clanton Road Charlotte NC 28217 300 Copperfield Blvd. Suites 105&106 Concord NC 28025 Cabarrus (704)332-9001 McLeod Center 070878 MHL-059-024 "McLeod Addictive Disease Center, Inc." 09-Jul-03 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY McLeod Addictive Disease Center - Marion 515 Clanton Road Charlotte NC 28217 117 West Medical Court Marion NC 28752 McDowell (828)659-3966 "McLeod Addictive Disease Center, Inc." 050395 MHL-090-155 "McLeod Addictive Disease Center, Inc." 18-Jul-05 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY "McLeod Addictive Disease Center, Inc." 515 Clanton Road Charlotte NC 28217 2208 West Roosevelt Blvd. Monroe NC 28110 Union (704)332-9001 McLeod Center 080350 MHL-060-1206 "McLeod Addictive Disease Center, Inc." 01-Nov-86 01-Jan-13 31-Dec-13 - - - - 18 27G.5600E Supervised Living SA Adult A SAS RESIDENTL McLeod Addictive Disease Center-4th Floor 515 Clanton Road Charlotte NC 28217 "515 Clanton Road, 4th Floor" Charlotte NC 28217 Mecklenburg (704)332-9001 "McLeod Addictive Disease Center, Inc." 080350 MHL-060-1206 "McLeod Addictive Disease Center, Inc." 01-Nov-86 01-Jan-13 31-Dec-13 - - - - 18 27G.3400 Residential Treatment/Rehabilitation A SAS RESIDENTL McLeod Addictive Disease Center-4th Floor 515 Clanton Road Charlotte NC 28217 "515 Clanton Road, 4th Floor" Charlotte NC 28217 Mecklenburg (704)332-9001 "McLeod Addictive Disease Center, Inc." 100118 MHL-060-1208 "McLeod Addictive Disease Center, Inc." 24-Mar-97 01-Jan-13 31-Dec-13 - - - - 20 27G.5600D Supervised Living SA Minor C&ADOL SAS RESIDENTL McLeod Addictive Disease Center - 3rd Floor 515 Clanton Road Charlotte NC 28217 "515 Clanton Road, 3rd Floor" Charlotte NC 28217 Mecklenburg (704)332-9001 "McLeod Addictive Disease Center, Inc." 100121 MHL-060-1209 "McLeod Addictive Disease Center, Inc." 09-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY McLeod Addictive Disease Center - 1st Floor 515 Clanton Road Charlotte NC 28217 "515 Clanton Road, 1st Floor" Charlotte NC 28217 Mecklenburg (704)332-9001 "McLeod Addictive Disease Center, Inc." 100121 MHL-060-1209 "McLeod Addictive Disease Center, Inc." 09-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY McLeod Addictive Disease Center - 1st Floor 515 Clanton Road Charlotte NC 28217 "515 Clanton Road, 1st Floor" Charlotte NC 28217 Mecklenburg (704)332-9001 "McLeod Addictive Disease Center, Inc." 100120 MHL-060-1210 "McLeod Addictive Disease Center, Inc." 01-Nov-02 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone C&ADOL&A SAS DAY McLeod Addictive Disease Center - 2nd Floor 515 Clanton Road Charlotte NC 28217 "515 Clanton Road, 2nd Floor" Charlotte NC 28217 Mecklenburg (704)332-9001 "McLeod Addictive Disease Center, Inc." 110435 MHL-018-057 "McLeod Addictive Disease Center, Inc." 01-May-01 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone C&ADOL&A SAS DAY McLeod Addictive Disease Center - Hickory 515 Clanton Road Charlotte NC 28217 1170 Fairgrove Church Road Hickory NC 28601 Catawba (828)464-1172 "McLeod Addictive Disease Center, Inc." 110435 MHL-018-057 "McLeod Addictive Disease Center, Inc." 01-May-01 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY McLeod Addictive Disease Center - Hickory 515 Clanton Road Charlotte NC 28217 1170 Fairgrove Church Road Hickory NC 28601 Catawba (828)464-1172 "McLeod Addictive Disease Center, Inc." 050311 MHL-049-101 "McLeod Addictive Disease Foundation, Inc." 14-Jun-05 01-Jan-13 31-Dec-13 Type A 16-Nov-07 - - 0 27G.3600 Outpatient Methadone ADOL&A AMB DAY Mcleod Addictive Disease Center 515 Clanton Road Charlotte NC 28217 636 Signal Hill Drive. Ext. Statesville NC 28625 Iredell (704)871-2992 970504 MHL-092-279 McNeil Home Services 12-May-97 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL McNeil Home 1014 Southerland Road Garner NC 27529 1014 Southerland Road Garner NC 27529 Wake (919)773-2567 Sonja Ely 932215 MHL-060-185 Mecklenburg Area Mental Health Program 01-Jan-93 01-Jan-13 31-Dec-13 Type A 15-Nov-10 - - 35 27G.3200 Social Setting Detoxification A SAS RESIDENTL Mecklenburg County Substance Abuse Services Center 429 Billingsley Road Charlotte NC 28211 429 Billingsley Road Charlotte NC 28211 Mecklenburg (704)336-3067 Substance Abuse Services Center 932215 MHL-060-185 Mecklenburg Area Mental Health Program 01-Jan-93 01-Jan-13 31-Dec-13 Type A 15-Nov-10 - - 32 27G.3400 Residential Treatment/Rehabilitation A SAS RESIDENTL Mecklenburg County Substance Abuse Services Center 429 Billingsley Road Charlotte NC 28211 429 Billingsley Road Charlotte NC 28211 Mecklenburg (704)336-3067 Substance Abuse Services Center 932215 MHL-060-185 Mecklenburg Area Mental Health Program 01-Jan-93 01-Jan-13 31-Dec-13 Type A 15-Nov-10 - - 9 27G.3100 Non-hospital Medical Detoxification A SAS DAY&RESL Mecklenburg County Substance Abuse Services Center 429 Billingsley Road Charlotte NC 28211 429 Billingsley Road Charlotte NC 28211 Mecklenburg (704)336-3067 Substance Abuse Services Center 050236 MHL-060-722 Mecklenburg Area Program 15-Oct-01 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Adult Homeless Substance Abuse Trtmt Offsite(women' s) 429 Billingsley Road Charlotte NC 28211 534 Spratt Street Charlotte NC 28206 Mecklenburg (704)432-3499 Tristin L White 922557 MHL-060-144 Mecklenburg Area Program 01-Nov-91 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Adult Homeless Substance Abuse Treatment-offsite (Men's 429 Billingsley Road Charlotte NC 28211 1210 North Tryon Street Charlotte NC 28206 Mecklenburg (704)432-3499 Tristin L White 030767 MHL-092-573 "Meeks Group Home, Inc." 30-Dec-03 01-Jan-13 31-Dec-13 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Meeks #2 PO Box 1383 Wendell NC 27591 4125 Edgemont Road Wendell NC 27591 Wake (919)365-0700 Brendex Meeks 020484 MHL-092-663 "Meeks Group Home, Inc." 17-Nov-06 01-Jan-13 31-Dec-13 Type A 14-Dec-11 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Meeks #3 PO Box 1383 Wendell NC 27591 323 West Barbee Street Zebulon NC 27597 Wake (919)269-5440 100241 MHL-060-1139 "Melange Health Solutions, LLC" 26-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Melange Health Solutions PO Box 29234 Charlotte NC 28229-9234 145-B and 145-C Scaleybark Road Charlotte NC 28209 Mecklenburg (704)567-8690 Melange Health Solutions LLC 100241 MHL-060-1139 "Melange Health Solutions, LLC" 26-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Melange Health Solutions PO Box 29234 Charlotte NC 28229-9234 145-B and 145-C Scaleybark Road Charlotte NC 28209 Mecklenburg (704)567-8690 Melange Health Solutions LLC 110549 MHL-060-1222 "Melange Health Solutions, LLC" 25-Aug-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY KIPP (Melange Health Solutions) 145 Scaleybark Road Charlotte NC 28209 931 Wilann Drive Charlotte NC 28215 Mecklenburg (704)537-2077 "Melange Health Solutions, LLC" 970312 MHL-036-295 "Melange Health Solutions, LLC" 14-Dec-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Melange Health Solutions (Residential Facility #1) 145-B Scaleybark Rd. Charlotte NC 28209 1818 West Fifth Avenue Gastonia NC 28054 Gaston (704)671-4123 "Melange Health Solutions, LLC" 011095 MHL-026-673 Melissa McAllister 07-Jan-01 01-Jan-13 31-Dec-13 Type B 18-Mar-08 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Precious Haven, Inc." PO Box 25821 Fayetteville NC 28314 532 Wayland Drive Fayetteville NC 28314 Cumberland (910)826-9346 050157 MHL-032-423 "Melody House, LLC" 08-Nov-07 01-Jan-13 31-Dec-13 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Melody House PO Box 11343 Durham NC 27703 2724 Marlin Drive Durham NC 27703 Durham (919)598-8495 Melody House 030561 MHL-032-498 "Melody House, LLC" 25-Aug-09 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Melody House #1, LLC" PO Box 11343 Durham NC 27703 3116 Cedarwood Drive Durham NC 27701 Durham (919)688-8374 "Melody House , LLC" 051292 MHL-041-1037 "Melvin Marketing, LLC" 16-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Community Services Connection 610 Summit Ave Greensboro NC 27405 "610 Summit Avenue, Suite A" Greensboro NC 27405 Guilford (336)908-3860 "Melvin Marketing, LLC" 020006 MHL-041-012 Mental Health Associates of the Triad 01-Sep-86 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A AMB DAY Destiny House PO Box 5693 High Point NC 27262 910 Mill Avenue High Point NC 27260 Guilford (336)883-7480 High Point MH Assoc. 020006 MHL-041-012 Mental Health Associates of the Triad 01-Sep-86 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity NONE AMB DAY Destiny House PO Box 5693 High Point NC 27262 910 Mill Avenue High Point NC 27260 Guilford (336)883-7480 High Point MH Assoc. 100167 MHL-001-207 "Merciful Hands, Inc." 01-Nov-10 01-Jan-13 31-Dec-13 Type A 07-Feb-13 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Enoch Group Home P.O. Box 3062 Burlington NC 27215 433 North Logan Street Burlington NC 27217 Alamance (336)227-1784 "Merciful Hands, Inc." 021297 MHL-082-079 "Mercy Care, Inc." 07-Apr-10 01-Jan-13 31-Dec-13 Type B Imposed 10-May-10 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Mercy Care II 218 Moore Street Clinton NC 28328 3950 Roseboro Highway Clinton NC 28328 Sampson (910)590-2236 "Mercy Care, Inc." 001414 MHL-082-060 "Mercy Care, Inc." 06-Jun-06 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Mercy Care I 218 Moore Street Clinton NC 28328 112 Royal Lane Clinton NC 28328 Sampson (910)592-5746 "Mercy Care, Inc." 061378 MHL-041-911 "Mercy Home Services, Inc." 01-May-09 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Mercy Home Services II 2 Ridge Grove Ct. Greensboro NC 27455 907 Dillard Street Greensboro NC 27403 Guilford (336)617-8940 "Mercy Home Services, Inc." 061295 MHL-041-736 "Mercy Home Services, Inc." 01-Oct-04 01-Jan-13 31-Dec-13 Type B 03-Dec-12 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Mercy Home Services, Inc." 2 Ridge Grove Court Greensboro NC 27455 127 Robbins Avenue Jamestown NC 27282 Guilford (336)454-6825 120618 MHL-041-937 "Mercy Home Services, Inc." 28-Jan-10 01-Jan-13 31-Dec-13 - - - - 0 Merciful Hands Day Program 2 Ridge Grove Court Greensboro NC 27455 "1203 Brandt Street, Suite E" Greensboro NC 27407 Guilford (336)617-7947 "Mercy Home Services, Inc." 120618 MHL-041-937 "Mercy Home Services, Inc." 28-Jan-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Merciful Hands Day Program 2 Ridge Grove Court Greensboro NC 27455 "1203 Brandt Street, Suite E" Greensboro NC 27407 Guilford (336)617-7947 "Mercy Home Services, Inc." 120618 MHL-041-937 "Mercy Home Services, Inc." 28-Jan-10 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Merciful Hands Day Program 2 Ridge Grove Court Greensboro NC 27455 "1203 Brandt Street, Suite E" Greensboro NC 27407 Guilford (336)617-7947 "Mercy Home Services, Inc." 020971 MHL-092-526 Meredith College 26-Feb-03 01-Jan-13 31-Dec-13 - - - - 0 27G.2400 "Day Services for DD, Devel. Delayed, or Atypical Devel." C MR/DD DAY Meredith Autism Program 3800 Hillsborough Street Raleigh NC 27607 3800 Hillsborough St. Ledford Hall Raleigh NC 27607 Wake (919)760-8022 Meredith College Autism Program 921643 MHL-020-001 "Meridian Behavioral Health Services, Inc." 12-Apr-85 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation ADOL&A MI DAY Meridian Behavioral Health-Cherokee PO Box 2187 Sylva NC 28779 27 Bona Vista Lane Marble NC 28905 Cherokee (828)837-7466 Meridian Behavioral Health Svcs. 922607 MHL-044-001 "Meridian Behavioral Health Services, Inc." 01-Mar-87 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA ADOL&A SAS DAY Meridian Behavioral Health Services PO Box 2187 Sylva NC 28779 131 Walnut Street Waynesville NC 28786 Haywood (828)456-8604 "Meridian Behavioral Health Services, Inc." 922607 MHL-044-001 "Meridian Behavioral Health Services, Inc." 01-Mar-87 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Meridian Behavioral Health Services PO Box 2187 Sylva NC 28779 131 Walnut Street Waynesville NC 28786 Haywood (828)456-8604 "Meridian Behavioral Health Services, Inc." 922607 MHL-044-001 "Meridian Behavioral Health Services, Inc." 01-Mar-87 01-Jan-13 31-Dec-13 - - - - 0 27G.3300 Outpatient Detoxification ADOL&A SAS DAY Meridian Behavioral Health Services PO Box 2187 Sylva NC 28779 131 Walnut Street Waynesville NC 28786 Haywood (828)456-8604 "Meridian Behavioral Health Services, Inc." 922610 MHL-044-002 "Meridian Behavioral Health Services, Inc." 01-Mar-87 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Smoky Mountain House PO Box 2187 Sylva NC 28779 307 Broadview Street Waynesville NC 28786 Haywood (828)456-9258 Meridian Behavioral Health Services 922610 MHL-044-002 "Meridian Behavioral Health Services, Inc." 01-Mar-87 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Smoky Mountain House PO Box 2187 Sylva NC 28779 307 Broadview Street Waynesville NC 28786 Haywood (828)456-9258 Meridian Behavioral Health Services 020408 MHL-092-518 "Methodist Home for Children, Inc." 12-Nov-02 01-Jan-13 31-Dec-13 Type A 13-Mar-12 - - 5 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL North Hills Youth Home 1041 Washington Street Raleigh NC 27605 5400 North Hills Drive Raleigh NC 27612 Wake (919)782-8389 Methodist Home for Children 091047 MHL-065-117 Metro Treatment of NC dba New Hanover Treatment Ctr. 22-Nov-99 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone A SAS RESIDENTL New Hanover Treatment Center "8529 Southpark Circle, Ste. 270" Orlando FL 32819 "1611 Castle Hayne Road, Unit D4" Wilmington NC 28401 New Hanover (910)763-1210 "Metro Treatment of North Carolina, L.P." 060480 MHL-032-233 "Metro Treatment of NC, LP" 29-Nov-99 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Durham Treatment Center 8529 South Park Circle Suite 270 Orlando FL 32819 1913 Lamar Street Durham NC 27705 Durham (919)286-1509 "Colonial Mgmt. Group, LP" 030261 MHL-026-760 "Metro Treatment of NC, LP d/b/a Fayetteville Trtmt Ctr" 26-Feb-03 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Fayetteville Treatment Center 8529 South Park Circle Ste 270 Orlando FL 32819 418 Person Street Suite 103 Fayetteville NC 28301 Cumberland (910)483-0958 "Metro Treatment of NC, LP" 021096 MHL-060-865 "Metro Treatment of North Carolina, L.P." 02-Oct-02 01-Jan-13 31-Dec-13 Type A 17-Dec-12 - - 0 27G.3600 Outpatient Methadone A SAS DAY "Charlotte Treatment Center, Inc." "8529 SouthPark Circle, Ste 270" Orlando FL 32819 3315 Wilkinson Blvd. Charlotte NC 28208 Mecklenburg (704)697-0044 080281 MHL-041-523 "Metro Treatment of North Carolina, L.P." 21-Dec-98 01-Jan-13 31-Dec-13 Intent to Revoke 17-Jun-11 - - 0 27G.3600 Outpatient Methadone A SAS DAY Greensboro Treatment Center "8529 South Park Circle , Suite 270" Orlando FL 32819 "207 Westgate Drive, Suites G-J" Greensboro NC 27407 Guilford (336)273-9611 "Metro Treatment of North Carolina, LP" 100925 MHL-018-091 "Metro Treatment of North Carolina, L.P." 22-Nov-10 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Hickory Metro Treatment Center 1152 Lenoir Rhyne Boulevard S.E. Hickory NC 28601 1152 Lenoir Rhyne Boulevard S.E. Hickory NC 28601 Catawba (828)485-1320 "Metro Treatment of North Carolina, LP" 021122 MHL-041-994 Michael A. Benjamin 22-Nov-10 12-Feb-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Quality Care III 1594 Candace Ridge Drive Greensboro NC 27406 4207 Farlow Drive Greensboro NC 27406 Guilford (336)617-8173 Michael A. Benjamin 960112 MHL-064-024 Michael Dane Urton 20-Feb-96 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Urton & Associates PO Box 7487 Rocky Mount NC 27804 3300 Sunset Avenue Rocky Mount NC 27804 Nash (252)451-0000 Michael Dane Urton 941859 MHL-012-117 Michael Walker 29-Jan-10 01-Jan-13 31-Dec-13 - - - - 10 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Walkers PRTF 200 Royalton Place Huntersville NC 28078 2130 Highway 18/US 64 Morganton NC 28655 Burke (828)433-6907 Miachael and Helen Walker 090893 MHL-002-020 Michael Walker 18-Dec-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization A MI DAY Walkers Day Program-Tayolorsville 200 Royalton Place Huntersville NC 28078 "137 7th Street, Suite B" Taylorsville NC 28681 Alexander (828)635-0490 Michael Walker 090893 MHL-002-020 Michael Walker 18-Dec-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Walkers Day Program-Tayolorsville 200 Royalton Place Huntersville NC 28078 "137 7th Street, Suite B" Taylorsville NC 28681 Alexander (828)635-0490 Michael Walker 061258 MHL-032-415 "Michael's Place, Inc." 30-Jul-07 01-Jan-13 31-Dec-13 Type B 09-Apr-12 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Michael's Place, Inc." 114 Crosswood Drive Durham NC 27703 2815 Cascadilla Street Durham NC 27704 Durham (919)491-5720 "Michael O. Young, Sr." 944895 MHL-026-054 "Mid State Health Services, Inc." 20-Mar-90 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF No Place Like Home P. O. Box 64724 Fayetteville NC 28306 4309 NC Hwy 87 South Fayetteville NC 28306 Cumberland (910)483-4043 922719 MHL-026-057 "Mid State Health Systems, Inc." 01-Sep-90 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A NONE DAY The Learning Center 3721 Legion Road Hope Mills NC 28348 3721 Legion Road Hope Mill NC 28348 Cumberland (910)484-3717 "Mid State Health Systems, Inc." 920779 MHL-030-026 "Milling Manor, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type B 29-Oct-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Milling Manor, Inc." P.O. Box 1053 Mocksville NC 27028 253 Milling Road Mocksville NC 27028 Davie (336)751-3276 030262 MHL-035-033 Milltrene B. Newell 18-May-01 01-Jan-13 31-Dec-13 Type B 06-Feb-12 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Ainuddin's Home PO Box 1086 Louisburg NC 27549 123 Bullock Drive Louisburg NC 27549 Franklin (919)496-4361 The Ainuddin's Home 080879 MHL-041-1030 "Milton's Manor, Inc." 14-Oct-11 01-Jan-13 31-Dec-13 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Milton's Manor #2 1607 MLK Jr. Dr. Greensboro NC 27406 2509 Triangle Lake Drive High Point NC 27260 Guilford (336)889-8835 "Milton's Manor, Inc." 100156 MHL-033-086 Minnie Bullock 01-Sep-10 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Blazing Women of God Adult Group Home 1124 Clark Street Rocky Mount NC 27801 1124 Clark Street Rocky Mount NC 27801 Edgecombe (252)442-5338 Minnie Bullock 060852 MHL-033-055 Minnie C. Whitehead 08-Jan-08 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RoJae's Creation 417 North Parker Street Rocky Mount NC 27801 417 North Parker Street Rocky Mount NC 27801 Edgecombe (252)446-4343 Minnie Chance Whitehead 010913 MHL-060-785 "Miracle Houses, Inc." 22-Feb-02 01-Jan-13 31-Dec-13 Type A 15-Jun-06 - - 6 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Miracle House 1 7508 East Independence Blvd. Charlotte NC 28227 1418 Jules Court Charlotte NC 28226 Mecklenburg (704)367-5041 "Miracle Houses, Inc." 041290 MHL-060-957 "Miracle Houses, Inc." 19-Jan-05 01-Jan-13 31-Dec-13 Type A 13-Jan-09 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Miracle Houses-Monteith 7508 East Independence Blvd. Charlotte NC 28227 6421 Monteith Drive Charlotte NC 28213 Mecklenburg (704)596-3493 "Miracle Houses, Inc." 070094 MHL-060-1048 "Miracle Houses, Inc." 19-Feb-08 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Miracle Houses-Swearingan 7508 East Independence Blvd. Charlotte NC 28227 5212 Swearingan Road Charlotte NC 28216 Mecklenburg (704)394-7838 "Miracle Houses, Inc." 030650 MHL-036-287 "Miracle Houses, Inc." 28-Oct-10 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Miracle Houses-Twin Avenue "7508 E. Independence Blvd., Ste 119" Charlotte NC 28227 2004 Twin Avenue Gastonia NC 28052 Gaston (704)215-5768 "Miracle Houses, Inc." 020675 MHL-098-088 "Miss Daisy's & Associates, Inc." 16-Aug-02 19-Mar-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Miss Daisy's PO Box 1991 Wilson NC 27894 203 Spruce Street Wilson NC 27893 Wilson (252)291-4915 "Miss Daisy's & Associates, Inc." 970159 MHL-098-163 "Miss Daisy's & Associates, Inc." 17-May-11 01-Jan-13 31-Dec-13 Type B 29-Jun-12 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Miss Daisy's Homesite PO Box 1991 Wilson NC 27894 1307 Grove Street Wilson NC 27893 Wilson (252)237-0518 "Miss Daisy's & Associates, Inc." 990787 MHL-098-164 "Miss Daisy's & Associates, Inc." 17-May-11 01-Jan-13 31-Dec-13 Type B 29-Jun-12 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Miss Daisy's & Associates PO Box 1991 Wilson NC 27984-1991 801 South Tarboro Street Wilson NC 27893 Wilson (252)291-3805 "MIss Daisy's & Associates, Inc." 030136 MHL-098-165 "Miss Daisy's & Associates, Inc." 17-May-11 19-Mar-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Miss Daisy's 1309 PO Box 1991 Wilson NC 27893 1309 Grove Street Wilson NC 27893 Wilson (252)291-4915 "Miss Daisy's & Associates, Inc." 051028 MHL-098-177 "Miss Daisy's & Associates, Inc." 13-Jan-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Miss Daisy's & Associates, Inc." P.O. Box 1991 Wilson NC 27894 103 Belmont Avenue Wilson NC 27893 Wilson (252)281-1281 920787 MHL-061-008 "Mitchell County Group Home, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Mitchell County Group Home 86 Richmond Road Bakersville NC 28705 86 Richmond Road Bakersville NC 28705 Mitchell (828)688-2521 080573 MHL-029-112 Mitchell Jerome Bratton 26-Feb-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Unique Services 310 Forest Rose Drive Lexington NC 27292 310 Forest Rose Drive Lexington NC 27292 Davidson (336)224-1075 Mitchell Jerome Bratton 001523 MHL-084-039 Monarch 20-Dec-00 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Troy Road Group Home "350 Pee Dee Ave, Ste A" Albemarle NC 28001 2228 East Main Street Albemarle NC 28001 Stanly (704)985-1870 Monarch 920027 MHL-084-040 Monarch 15-Jun-01 01-Jan-13 31-Dec-13 Type A 30-Jan-13 - - 5 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Anderson Road Group Home "350 Pee Dee Ave, Ste A" Albemarle NC 28001 207 Anderson Road Albemarle NC 28001 Stanly (704)982-3540 Monarch 921285 MHL-084-042 Monarch 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Valleyview Group Home "350 Pee Dee Ave, Ste A" Albemarle NC 28001 506 Valleyview Drive Albemarle NC 28001 Stanly (704)983-5722 Monarch 921406 MHL-052-001 Monarch 01-Apr-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Jones County Home "350 Pee Dee Ave, Suite A" Albemarle NC 28001 2280 Oak Grove Road Trenton NC 28585 Jones (252)224-1041 Monarch 921407 MHL-016-005 Monarch 01-Jun-86 01-Jan-13 31-Dec-13 Type A 02-Sep-11 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Newport "350 Pee Dee Ave, Suite A" Albemarle NC 28001 2331 North Lakeview Drive Newport NC 28570 Carteret (252)223-3925 Monarch 921425 MHL-084-069 Monarch 05-May-09 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Second Street Home 350 Pee Dee Ave. Suite A Albemarle NC 28001 242 North Second Street Albemarle NC 28001 Stanly (704)983-2016 Monarch 921447 MHL-004-003 Monarch 25-Sep-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Anson Group Home "350 Pee Dee Ave, Suite A" Albemarle NC 28001 405 Burns Street Wadesboro NC 28170 Anson (704)694-4069 Monarch 921449 MHL-004-004 Monarch 19-Jun-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Ansonville Group Home "350 Pee Dee Ave, Suite A" Albermarle NC 28001 1215 Ansonville/Polkton Rd. Ansonville NC 28007 Anson (704)826-6233 Monarch 921650 MHL-025-002 Monarch 31-Mar-83 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Brices Creek Road Home "350 Pee Dee Ave, Suite A" Albemarle NC 28001 3000 Brices Creek Road New Bern NC 28560 Craven (252)635-5377 Monarch 921668 MHL-025-005 Monarch 01-Mar-88 01-Jan-13 31-Dec-13 Type B 12-Oct-12 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Health Drive "350 Pee Dee Ave, Suite A" Albemarle NC 28001 1320 Health Drive New Bern NC 28560 Craven (252)638-5945 Monarch 921668 MHL-025-005 Monarch 01-Mar-88 01-Jan-13 31-Dec-13 Type B 12-Oct-12 - - 0 27G.5400 Day Activity A MD DAY Health Drive "350 Pee Dee Ave, Suite A" Albemarle NC 28001 1320 Health Drive New Bern NC 28560 Craven (252)638-5945 Monarch 921680 MHL-074-020 Monarch 01-Jun-90 01-Jan-13 31-Dec-13 Type A 27-Aug-10 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL New Foundations "350 Pee Dee Ave, Suite A" Albemarle NC 28001 199 W. Washington Street Bethel NC 27812 Pitt (252)825-0480 Arc Services Inc. dba Monarch 921769 MHL-025-007 Monarch 01-Jun-86 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Dogwood House "350 Pee Dee Ave, Suite A" Albemarle NC 28001 2401 Dogwood Drive New Bern NC 28560 Craven (252)638-2845 Monarch 921985 MHL-047-001 Monarch 01-Dec-86 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Vocational Options of Hoke County "350 Pee Dee Ave, Suite A" Albemarle NC 28001 1992 Turnpike Road Raeford NC 28376 Hoke (910)875-6639 Monarch 921986 MHL-047-009 Monarch 01-Mar-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hoke County Group Home #1 "350 Pee Dee Ave, Suite A" Albemarle NC 28001 170 Oak Street Raeford NC 28376 Hoke (910)875-4211 Monarch 922049 MHL-025-008 Monarch 06-Mar-85 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Vanceboro "350 Pee Dee Ave, Suite A" Albemarle NC 28001 143 James Street Vanceboro NC 28586 Craven (252)244-0048 Monarch 922077 MHL-090-026 Monarch 01-Aug-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Karen Lane Home "350 Pee Dee Ave, Suite A" Albemarle NC 28001 3224 Karen Lane Monroe NC 28112 Union (704)283-2336 Monarch 922094 MHL-090-025 Monarch 01-Jun-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lake Monroe Home "350 Pee Dee Ave, Suite A" Albemarle NC 28001 1708 Lake Monroe Drive Monroe NC 28112 Union (704)289-6655 Monarch 922171 MHL-077-006 Monarch 01-Mar-85 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Mallard Lane Center "350 Pee Dee Ave, Suite A" Albemarle NC 28001 142 Mallard Lane Rockingham NC 28379 Richmond (910)895-3428 Monarch 922212 MHL-090-010 Monarch 01-May-89 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Meadowview Home "350 Pee Dee Ave, Suite A" Albrmarle NC 28001 2723 Bobwhite Circle Wingate NC 28174 Union (704)233-9368 Monarch 922239 MHL-062-002 Monarch 01-Jul-86 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Montgomery Community Living Skills "350 Pee Dee Ave, Suite A" Albemarle NC 28001 215 Page Street Biscoe NC 27209 Montgomery (910)428-4298 Monarch 922240 MHL-062-004 Monarch 01-May-88 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Montgomery Group Home "350 Pee Dee Ave, Suite A" Albemarle NC 28001 321 Taft Street Troy NC 27371 Montgomery (910)576-0640 Monarch 922249 MHL-084-011 Monarch 01-Aug-90 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Moss I Group Home "350 Pee Dee Ave, Suite A" Albemarle NC 28001 1617 Moss Springs Road Albemarle NC 28001 Stanly (704)983-3911 Monarch 922263 MHL-062-006 Monarch 01-Jun-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Myrtlewood Group Home "350 Pee Dee Ave, Suite A" Albemarle NC 28001 175 Myrtlewood Drive Mt. Gilead NC 27306 Montgomery (910)439-5496 Monarch 922349 MHL-069-001 Monarch 01-Aug-89 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Pamlico County Group Home 350 Pee Dee Avenue Suite a "Albemarle," NC 28001 554 Highway 306 North Grantsboro NC 28529 Pamlico (252)745-7303 Monarch 922355 MHL-081-011 Monarch 01-Nov-89 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Parkland Group Home "350 Pee Dee Ave, Suite A" Albemarle NC 28001 188 Parkland Drive Forest City NC 28043 Rutherford (828)245-5667 Monarch 922387 MHL-085-005 Monarch 01-Feb-89 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Pilotview "350 Pee Dee Ave, Suite A" Albemarle NC 28001 209 Pilot View Drive King NC 27021 Stokes (336)983-0493 Monarch 922393 MHL-034-010 Monarch 01-Apr-83 01-Jan-13 31-Dec-13 Type B Imposed 16-Feb-06 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Pineview "350 Pee Dee Ave, Suite A" Albemarle NC 28001 5260 Pineview Drive Winston-Salem NC 27105 Forsyth (336)744-1805 Monarch 922466 MHL-077-007 Monarch 01-Nov-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Richmond Adult Group Home "350 Pee Dee Ave, Suite A" Albermarle NC 28001 190 East Church Street Ellerbe NC 28338 Richmond (910)652-3277 Monarch 922471 MHL-090-027 Monarch 01-Aug-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Ridgefield Home "350 Pee Dee Ave, Suite A" Albemarle NC 28001 730 Fisher Ridge Road Monroe NC 28110 Union (704)283-2764 Monarch 922541 MHL-016-009 Monarch 01-Jun-79 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Schooner Shores "350 Pee Dee Ave, Suite A" Albemarle NC 28001 681 Highway 101 Beaufort NC 28516 Carteret (252)728-1251 Monarch 922629 MHL-025-020 Monarch 01-Feb-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Spencer's Place "350 Pee Dee Ave, Suite A" Albemarle NC 28001 201 Ninth Street New Bern NC 28560 Craven (252)633-1118 Monarch 922643 MHL-084-002 Monarch 01-Oct-90 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Stanly Industrial Services "350 Pee Dee Ave, Suite A" Albemarle NC 28001 730 Greenwood Street Albemarle NC 28002 Stanly (704)983-2174 Monarch 922643 MHL-084-002 Monarch 01-Oct-90 01-Jan-13 31-Dec-13 - - - - 0 27G.5500 Sheltered Workshops A MD DAY Stanly Industrial Services "350 Pee Dee Ave, Suite A" Albemarle NC 28001 730 Greenwood Street Albemarle NC 28002 Stanly (704)983-2174 Monarch 922725 MHL-081-005 Monarch 01-Dec-83 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Oaks "350 Pee Dee Ave, Suite A" Albemarle NC 28002 175 West Main Drive Forest City NC 28043 Rutherford (828)245-9208 Monarch 942772 MHL-081-008 Monarch 01-Oct-87 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Tri-City Group Home "350 Pee Dee Ave, Suite A" Albemarle NC 28001 132 Bellvue Street Forest City NC 28043 Rutherford (828)245-2417 "ARC Services, Inc. dba Monarch" 944464 MHL-084-041 Monarch 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL East Main Street Group Home "350 Pee Dee Ave, Ste A" Albemarle NC 28001 610 East Main Street Albemarle NC 28001 Stanly (704)983-2710 Monarch 944856 MHL-025-045 Monarch 01-Apr-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hoke Street Home "350 Pee Dee Ave, Suite A" Albemarle NC 28001 313-A Hoke Street New Bern NC 28562 Craven (252)636-9051 Monarch 951558 MHL-076-005 Monarch 01-Feb-85 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Vocational Opportunities in the Community "350 Pee Dee Ave, Suite A" Albemarle NC 28001 214 North Elm Street Asheboro NC 27203 Randolph (336)633-7268 Monarch 955353 MHL-077-015 Monarch 22-Dec-94 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Community Based Alternatives Inc. "350 Pee Dee Ave, Suite A" Albemarle NC 28001 7 Raleigh Street Hamlet NC 28345 Richmond (910)582-1923 Monarch 955424 MHL-062-009 Monarch 20-Jan-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF Mt. Gilead Children's Home "350 Pee Dee Ave, Suite A" Albemarle NC 28001 205 East Ingram Avenue Mt. Gilead NC 27306 Montgomery (910)439-1307 Monarch 955444 MHL-085-008 Monarch 07-Feb-95 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Stokes Opportunity Center "350 Pee Dee Ave, Suite A" Albemarle NC 28001 1080 Neal Road Walnut Cove NC 27052 Stokes (336)591-5446 Monarch 955444 MHL-085-008 Monarch 07-Feb-95 01-Jan-13 31-Dec-13 - - - - 0 27G.5500 Sheltered Workshops A MD DAY Stokes Opportunity Center "350 Pee Dee Ave, Suite A" Albemarle NC 28001 1080 Neal Road Walnut Cove NC 27052 Stokes (336)591-5446 Monarch 955460 MHL-084-026 Monarch 17-Feb-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lafayette Group Home "350 Pee Dee Ave, Ste A" Albemarle NC 28001 1100 Lafayette Drive Albemarle NC 28001 Stanly (704)982-3741 Monarch 060531 MHL-025-069 Monarch 14-Mar-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Kimberly Road "350 Pee Dee Ave, Suite A" Albemarle NC 28001 1503 Kimberly Road New Bern NC 28563 Craven (252)634-1715 Monarch 960122 MHL-077-019 Monarch 27-Feb-96 01-Jan-13 31-Dec-13 - - - - 9 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF Pence Place "350 Pee Dee Ave, Suite A" Albemarle NC 28001 295 Airport Road Rockingham NC 28379 Richmond (910)895-1154 Monarch 090221 MHL-076-033 Monarch 10-Jul-96 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Asheboro School Road "350 Pee Dee Avenue, Suite A" Albemarle NC 28001 2046 North Asheboro School Road Asheboro NC 27203 Randolph (336)629-6679 "Arc Services, Inc." 960398 MHL-076-049 Monarch 17-Aug-98 01-Jan-13 31-Dec-13 Type A 13-Aug-07 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Mainstream "350 Pee Dee Ave, Suite A" Albemarle NC 28001 933 East Salisbury Street Asheboro NC 27203 Randolph (336)629-6679 Monarch 070764 MHL-030-014 Monarch 01-Oct-97 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MD DAY New Horizons Enterprises "350 Pee Dee Ave, Suite A" Albemarle NC 28001 161 Funder Drive Mocksville NC 27028 Davie (336)751-1805 Monarch 980118 MHL-076-046 Monarch 02-Feb-98 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hope House "350 Pee Dee Ave, Suite A" Albemarle NC 28001 836 Joyce Street Asheboro NC 27203 Randolph (336)629-6181 Monarch 980212 MHL-047-010 Monarch 01-Mar-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hoke County Group Home #2 "350 Pee Dee Ave, Suite A" Albemarle NC 28001 106 South Wright Street Raeford NC 28376 Hoke (910)875-3141 Monarch 090558 MHL-090-011 Monarch 05-Apr-89 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Campus Park Drive "350 Pee Dee Avenue, Suite A" Albemarle NC 28001 "1653 Campus Park Drive, Unit D" Monroe NC 28112 Union (704)296-4649 Monarch 051464 MHL-076-050 Monarch 01-Sep-98 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Oakwood Acres "350 Pee Dee Ave, Suite A" Albemarlbe NC 28001 837 Oakwood Acres Rd. Asheboro NC 27203 Randolph (336)328-0671 Monarch 990891 MHL-084-036 Monarch 23-Aug-99 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cohen House "350 Pee Dee Ave, Ste A" Albemarle NC 28001 436 South Main Street Norwood NC 28128 Stanly (704)474-3624 Monarch 030472 MHL-013-117 Monarch 10-Feb-04 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Circle Drive Group Home "350 Pee Dee Ave, Suite A" Albemarle NC 28001 900 Circle Drive Mount Pleasant NC 28124 Cabarrus (704)436-2573 Monarch 060361 MHL-034-203 Monarch 19-May-06 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs NONE NONE DAY Forsyth Industrial Systems "350 Pee Dee Ave, Suite A" Albemarle NC 28001 650 North Highland Avenue Winston-Salem NC 27101 Forsyth (336)725-7527 Monarch 060361 MHL-034-203 Monarch 19-May-06 01-Jan-13 31-Dec-13 - - - - 0 27G.5500 Sheltered Workshops NONE NONE DAY Forsyth Industrial Systems "350 Pee Dee Ave, Suite A" Albemarle NC 28001 650 North Highland Avenue Winston-Salem NC 27101 Forsyth (336)725-7527 Monarch 060969 MHL-084-065 Monarch 24-Aug-06 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Moss II Group Home "350 Pee Dee Ave, Suite A" Albemarle NC 28001 1615 Moss Springs Road Albemarle NC 28001 Stanly (704)982-5882 Monarch 070305 MHL-013-142 Monarch 01-Aug-07 01-Jan-13 31-Dec-13 Type B 25-May-11 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Windemere Group Home "350 Pee Dee Ave, Suite A" Albemarle NC 28001 2158 Windemere Drive Kannopolis NC 28083 Cabarrus (704)933-7938 Monarch 921500 MHL-083-038 Monarch 09-Aug-07 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MD DAY Scotland Enterprises "350 Pee Dee Ave, Suite A" Albemarle NC 28001 1224 Biggs Street Laurinburg NC 28352 Scotland (910)276-9664 Monarch 921500 MHL-083-038 Monarch 09-Aug-07 01-Jan-13 31-Dec-13 - - - - 0 27G.5500 Sheltered Workshops A MD DAY Scotland Enterprises "350 Pee Dee Ave, Suite A" Albemarle NC 28001 1224 Biggs Street Laurinburg NC 28352 Scotland (910)276-9664 Monarch 090825 MHL-009-028 Monarch 09-Aug-07 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MD DAY Bladen Opportunities Unlimited "350 Pee Dee Avenue, Suite A" Albemarle NC 28001 412B Peanut Road Elizabethtown NC 28337 Bladen (910)863-4137 Monarch 960476 MHL-024-070 Monarch 09-Aug-07 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MD DAY Columbus Industries "350 Pee Dee Ave, Suite A" Albemarle NC 28001 207 W. Walter St. Whiteville NC 28472 Columbus (910)642-5827 Monarch 960476 MHL-024-070 Monarch 09-Aug-07 01-Jan-13 31-Dec-13 - - - - 0 27G.5500 Sheltered Workshops A MD DAY Columbus Industries "350 Pee Dee Ave, Suite A" Albemarle NC 28001 207 W. Walter St. Whiteville NC 28472 Columbus (910)642-5827 Monarch 942625 MHL-078-199 Monarch 09-Aug-07 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MD DAY Southeastern Industrial Center "350 Pee Dee Ave, Suite A" Albemarle NC 28001 430 Caton Road Lumberton NC 28359 Robeson (910)738-8138 Monarch 942625 MHL-078-199 Monarch 09-Aug-07 01-Jan-13 31-Dec-13 - - - - 0 27G.5500 Sheltered Workshops A MD DAY Southeastern Industrial Center "350 Pee Dee Ave, Suite A" Albemarle NC 28001 430 Caton Road Lumberton NC 28359 Robeson (910)738-8138 Monarch 944814 MHL-090-163 Monarch 07-May-08 01-Jan-13 31-Dec-13 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Southgate Group Home "350 Pee Dee Ave, Ste A" Albemarle NC 28001 818 Gate Road Monroe NC 28110 Union (704)283-4348 Monarch 922578 MHL-064-091 Monarch 01-Oct-08 01-Jan-13 31-Dec-13 Type B 12-Feb-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Simbelyn "350 Pee Dee Ave., Ste A" Albemarle NC 28001 211 Simbelyn Drive Nashville NC 27856 Nash (252)459-7620 Monarch 921816 MHL-064-092 Monarch 01-Oct-08 01-Jan-13 31-Dec-13 Type B 07-Mar-12 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Evergreen "350 Pee Dee Ave., Ste. A" Albemarle NC 28001 827 Evergreen Road Rocky Mount NC 27804 Nash (252)446-8675 Monarch 942848 MHL-033-058 Monarch 01-Oct-08 01-Jan-13 31-Dec-13 Type B 21-Sep-10 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Way Farer Court 350 Pee Dee Ave. Ste. A Albemarle NC 28001 145 Way Farer Court Rocky Mount NC 27801 Edgecombe (252)977-3747 Monarch 960317 MHL-089-006 Monarch 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Scuppernong River Club - Cohoon 350 Pee Dee Ave. Ste A Albemarle NC 28001 1208 Highway 64 East Columbia NC 27925 Tyrrell (252)796-5538 Monarch 942581 MHL-028-015 Monarch 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Beach Club of Dare 350 Pee Dee Ave. Suite A Albemarle NC 28001 823 North Main Highway Manteo NC 27954 Dare (252)473-1364 Monarch 921797 MHL-070-045 Monarch 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY River City Achievement Center - Pasquotank 350 Pee Dee Ave. Ste. A Albemarle NC 28001 1411 Parkview Drive Elizabeth City NC 27909 Pasquotank (252)331-2195 Monarch 971463 MHL-027-009 Monarch 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Lighthouse Club - Currituck 350 Pee Dee Ave. Ste A Albemarle NC 28001 133 Gallop Road Point Harbor NC 27964 Currituck (252)491-2076 Monarch 922429 MHL-007-072 Monarch 01-Jul-09 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Plant Street 350 Pee Dee Ave. Ste. A Albemarle NC 28001 619 Plant Street Washington NC 27889 Beaufort (252)946-7094 Monarch 090535 MHL-084-071 Monarch 29-Sep-09 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY A Unique Perspective "350 Pee Dee Avenue, Suite A" Albemarle NC 28001 732 Greenwood Street Albemarle NC 28001 Stanly (704)983-2174 Monarch 090476 MHL-084-072 Monarch 05-Oct-09 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Brighter Visions "350 Pee Dee Avenue, Suite" Albemarle NC 28001 181 College Street Norwood NC 28128 Stanly (704)474-5198 "Arc Services, Inc. dba Monarch" 921721 MHL-077-057 Monarch 01-Feb-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Richmond PSR "350 Pee Dee Avenue, Ste. A" Albemarle NC 28001 1385 Cauthen Drive Rockingham NC 28379 Richmond (910)997-7662 Monarch 921446 MHL-004-018 Monarch 01-Feb-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Anson PSR 350 Pee Dee Ave. Suite A Albemarle NC 28001 219 South Rutherford Street Wadesboro NC 28170 Anson (704)694-9488 Monarch 956338 MHL-004-019 Monarch 01-Feb-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Pine Terrace Home 350 Pee Dee Ave. Ste. A Albemarle NC 28001 501 Pine Terrace Street Wadesboro NC 28170 Anson (704)694-9394 Pine Terrace Home 980044 MHL-053-061 Monarch 01-Feb-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Seawell Street Home 350 Pee Dee Ave. Ste. A Albemarle NC 28001 108 East Seawell Street Sanford NC 27332 Lee (919)718-0269 Monarch 970970 MHL-043-078 Monarch 01-Feb-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Harnett PSR 350 Pee Dee Ave. Ste A Albemarle NC 28001 421 Paul Green Highway Buies Creek NC 27506 Harnett (919)814-0820 Monarch 942177 MHL-077-058 Monarch 01-Feb-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Cauthen Drive Home 350 Pee Dee Ave. Suite A Albemarle NC 28001 1401 Cauthen Drive Rockingham NC 28379 Richmond (910)997-7521 Monarch 920797 MHL-063-091 Monarch 03-May-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Middleton Street 350 Pee Dee Avenue Suite A Albemarle NC 28001 340 North Middleton Street Robbins NC 27325 Moore (910)948-2120 Monarch 920796 MHL-063-092 Monarch 03-May-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Green Street 350 Pee Dee Avenue Suite A Albemarle NC 28001 250 South Green Street Robbins NC 27325 Moore (910)948-4209 Monarch 981046 MHL-063-093 Monarch 03-May-10 01-Jan-13 31-Dec-13 Type B 15-Sep-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Oak Drive "350 Pee Dee Avenue, Suite A" Albemarle NC 28001 185 Oak Drive Southern Pines NC 28387 Moore (910)692-4860 Monarch 970996 MHL-047-129 Monarch 03-May-10 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Prospect Avenue 350 Pee Dee Aveune Suite A Albemarle NC 28001 1212 East Prospect Avenue Raeford NC 28376 Hoke (910)875-1487 Monarch 990465 MHL-077-060 Monarch 03-May-10 01-Jan-13 31-Dec-13 - - - - 7 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Charlotte Street 350 Pee Dee Avenue Suite A Albemarle NC 28001 113 Charlotte Street Hamlet NC 28345 Richmond (910)582-3780 Monarch 920799 MHL-063-095 Monarch 03-May-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Pennsylvania Avenue 350 Pee Dee Avenue Suite A Albemarle NC 28001 340 East Pennsylvania Avenue Southern Pines NC 28387 Moore (910)692-8605 Monarch 920798 MHL-063-096 Monarch 03-May-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Connecticut Avenue 350 Pee Dee Avenue Suite A Albemarle NC 28001 335 West Connecticut Avenue Southern Pines NC 28387 Moore (910)692-2104 100354 MHL-084-076 Monarch 03-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY AMS Day Treatment 350 Pee Dee Avenue Suite A Albemarle NC 28001 1811 Badin Road Albemarle NC 28001 Stanly (704)982-5480 Monarch 100421 MHL-029-118 Monarch 03-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY LMS Day Treatment "350 Pee Dee Avenue, Suite A" Albemarle NC 28001 100 West Hemstead Street Lexington NC 27292 Davidson (336)242-1567 Monarch 971334 MHL-090-173 Monarch 20-Oct-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY South Providence School Day Treatment "350 Pee Dee Avenue, Suite A" Albemarle NC 28001 500 South Providence Street Waxhaw NC 28173 Union (704)290-1580 Monarch 922219 MHL-060-1192 Monarch 01-Nov-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL McAlway Road "350 Pee Dee Avenue, Suite A" Albemarle NC 28001 714 McAlway Road Charlotte NC 28211 Mecklenburg (704)364-0432 Monarch 955397 MHL-060-1193 Monarch 01-Nov-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Austin "350 Pee Dee Avenue, Suite A" Albemarle NC 28001 1211 Robinhood Circle Charlotte NC 28227 Mecklenburg (704)563-8894 Monarch 980454 MHL-060-1194 Monarch 01-Nov-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Briar Creek Road "350 Pee Dee Avenue, Suite A" Albemarle NC 28001 1518 Briar Creek Road Charlotte NC 28205 Mecklenburg (704)537-4544 Monarch 955548 MHL-060-1195 Monarch 01-Nov-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Carmel Forest Drive "350 Pee Dee Avenue, Suite A" Albemarle NC 28001 3711 Carmel Forest Drive Charlotte NC 28205 Mecklenburg (704)542-8727 Monarch 101113 MHL-021-016 Monarch 22-Dec-10 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Heritage Club - Chowan "350 Pee Dee Avenue, Suite A" Albemarle NC 28001 101 West Eden Street Edenton NC 27932 Chowan (252)482-3177 Monarch 110150 MHL-053-060 Monarch 01-Feb-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Lee PSR "350 Pee Dee Avenue, Suite A" Albemarle NC 28001 214 McIver Street Sanford NC 27330 Lee (919)774-1485 Monarch 051025 MHL-078-276 Monarch 01-May-11 01-Jan-13 31-Dec-13 - - - - 1 27G.3100 Non-hospital Medical Detoxification ADOL&A SAS RESIDENTL Tanglewood Arbor "350 Pee Dee Ave., Ste. A" Albemarle NC 28001 207 West 29th Street Lumberton NC 28358 Robeson (910)618-5606 Monarch 051025 MHL-078-276 Monarch 01-May-11 01-Jan-13 31-Dec-13 - - - - 10 27G.5000 Facility Crisis Svcs. for all Disability Groups ADOL&A MD RESIDENTL Tanglewood Arbor "350 Pee Dee Ave., Ste. A" Albemarle NC 28001 207 West 29th Street Lumberton NC 28358 Robeson (910)618-5606 Monarch 922667 MHL-041-1018 Monarch 01-Jul-11 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Southridge Road "350 Pee Dee Ave., Ste. A" Albemarle NC 28001 301 Southridge Road Jamestown NC 27282 Guilford (336)454-1213 Monarch 000031 MHL-041-1019 Monarch 01-Jul-11 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Corvair Drive "350 Pee Dee Ave., Ste. A" Albemarle NC 28001 3417 Corvair Drive High Point NC 27265 Guilford (336)869-8034 000050 MHL-041-1020 Monarch 01-Jul-11 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Dogwood Circle "350 Pee Dee Ave., Ste. A" Albemarle NC 28001 400 Dogwood Circle High Point NC 27260 Guilford (336)884-8278 Monarch 000069 MHL-041-1021 Monarch 01-Jul-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Andrea Drive "350 Pee Dee Ave., Ste. A" Albemarle NC 28001 101 Andrea Drive Jamestown NC 27409 Guilford (336)294-9873 Monarch 100555 MHL-041-1035 Monarch 01-Jan-12 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY Companions on the Journey "350 Pee Dee Ave., Ste. A" Albemarle NC 28001 2640 Willard Dairy Road #110 High Point NC 27265 Guilford (336)869-1405 Monarch 120024 MHL-063-090 Monarch 03-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Creative Arts and Community Center "350 Pee Dee Ave., Ste. A" Albemarle NC 28001 1662 Richards Street Southern Pines NC 28387 Moore (910)692-2936 Monarch 120024 MHL-063-090 Monarch 03-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MR/DD DAY Creative Arts and Community Center "350 Pee Dee Ave., Ste. A" Albemarle NC 28001 1662 Richards Street Southern Pines NC 28387 Moore (910)692-2936 Monarch 980627 MHL-077-072 Monarch 27-Aug-12 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Circlewood Drive "350 Pee Dee Ave., Suite A" Albemarle NC 28001 841 Circlewood Drive Hamlet NC 28345 Richmond (910)557-5337 Monarch 070351 MHL-026-834 Monica Strange 06-Mar-07 13-Feb-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Great Expectations Day Facility and Enrichment Program 3642 Thornsby Lane Fayetteville NC 28306 1329 Robeson Street Fayetteville NC 28305 Cumberland (910)488-3107 Monica Strange 070351 MHL-026-834 Monica Strange 06-Mar-07 13-Feb-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Great Expectations Day Facility and Enrichment Program 3642 Thornsby Lane Fayetteville NC 28306 1329 Robeson Street Fayetteville NC 28305 Cumberland (910)488-3107 Monica Strange 030238 MHL-032-304 Moore's House LLC 25-Sep-03 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Moore's House 3108 Dearborn Dr. Durham NC 27704 3108 Dearborn Drive Durham NC 27707 Durham (919)220-3631 David Moore 041501 MHL-039-036 "More Than Conquerors Youth Center, Inc." 15-Nov-05 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL More Than Conquerors 408 East E Street Butner NC 27509 408 East E Street Butner NC 27509 Granville (919)575-0746 Matt and Danielle Mayes 101174 MHL-045-100 "Mountain Area Community Services, Inc." 24-Feb-11 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Ames Home 564 Long Shoals Road Arden NC 28704 510-A Shepherd Street Hendersonville NC 28792 Henderson (828)435-0605 "Mountain Area Community Services, Inc." 101211 MHL-045-103 "Mountain Area Community Services, Inc." 01-Jun-11 01-Jan-13 31-Dec-13 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C MD RESIDENTL Capps Home 366 S. Main St. Marion NC 28752 151 Yon Hill Road Hendersonville NC 28792 Henderson (828)388-2405 "Mountain Area Community Services, Inc." 001260 MHL-045-106 "Mountain Area Community Services, Inc." 16-Oct-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Eagle's Nest Home 366 S. Main St. Marion NC 28752 305 Causby Lane Hendersonville NC 28791 Henderson (828)698-6433 "Mountain Area Community Services, Inc." 110979 MHL-045-101 "Mountain Area Community Services, Inc." 28-Feb-11 01-Jan-13 31-Dec-13 - - - - 1 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Scott Home 366 S. Main St. Marion NC 28752 1019 Saddlebrook Drive Hendersonville NC 28739 Henderson (828)687-4494 "Mountain Area Community Services, Inc." 120246 MHL-059-051 "Mountain Area Community Services, Inc." 24-May-11 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A NONE DAY MACS Day Support 366 South Main Street Marion NC 28752 366 South Main Street Marion NC 28752 McDowell (828)676-2135 "Mountain Area Community Services, Inc." 080220 MHL-044-043 Mountain Area Recovery Center 09-Nov-05 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Mountain Area Recovery Center - West PO Box 3282 Asheville NC 28802 414 Hospital Drive Clyde NC 28721 Haywood (828)454-0560 Mountain Area Recovery Center 101222 MHL-011-010 Mountain Area Recovery Center 02-Oct-85 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone C&ADOL&A SAS DAY Mountain Area Recovery Center PO Box 3282 Asheville NC 28802 18 Wedgefield Drive Asheville NC 28806 Buncombe (828)252-8748 921653 MHL-011-024 "Mountain Area Residential Facilities, Inc." 28-Jan-88 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Chiles Avenue Group Home PO Box 5514 Asheville NC 28813 22 Chiles Avenue Asheville NC 28803 Buncombe (828)254-8068 941140 MHL-011-222 "Mountain Area Residential Facilities, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL St. Dunstan Manor Group Home PO Box 5514 Asheville NC 28813 46 St. Dunstan Circle Asheville NC 28803 Buncombe (828)254-1799 000485 MHL-092-424 Mrs. Deborah Peebles 21-Jul-00 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Elmhurst Ridge Court Home 4800 Elmhurst Ridge Court Raleigh NC 27616 4800 Elmhurst Ridge Court Raleigh NC 27616 Wake (919)862-8166 Deborah Peebles 990036 MHL-092-426 Ms. Kimberly Starkey 11-Jul-00 01-Jan-13 31-Dec-13 - - - - 1 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Starkey Lowery's Supervised Living Home 1232 Penselwood Dr. Raleigh NC 27604 1232 Penselwood Drive Raleigh NC 27604 Wake (919)217-5032 Ms. Kimberly Starkey 990036 MHL-092-426 Ms. Kimberly Starkey 11-Jul-00 01-Jan-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services A MI RESIDENTL Starkey Lowery's Supervised Living Home 1232 Penselwood Dr. Raleigh NC 27604 1232 Penselwood Drive Raleigh NC 27604 Wake (919)217-5032 Ms. Kimberly Starkey 120110 MHL-076-109 Multi-Therapeutic Services Inc. 08-Jun-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Touching Lives Group Home 8380 Cheval Street Clemmons NC 27012-9122 2052 Brooklyn Avenue Ramseur NC 27316 Randolph (336)824-1525 "Multi-Therapeutic Services, Inc." 060990 MHL-034-211 "Multi-Therapeutic Services, Inc." 19-Jan-07 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cheval Group Home 2625 Neudorf Road Suite 600 Clemmons NC 27012 8380 Cheval Street Clemmons NC 27012 Forsyth (336)778-9211 Toni Jones 100923 MHL-047-140 "Multicultural Resource Center, Inc." 22-Feb-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Multicultural Resource Center - Group Home #1 980 Kennesaw Drive Fayetteville NC 28314-5757 249 Joyce Lane Raeford NC 28376 Hoke (910)848-5515 "Multicultural Resources Center, Inc." 944305 MHL-001-224 Murphy's Group Home LLC 01-Aug-12 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL New Beginnings Group Home 1017 South Church Street Burlington NC 27215 1017 South Church Street Burlington NC 27215 Alamance (919)593-1595 Murphy's Group Home LLC 070018 MHL-041-1066 "Murphy's Group Home, LLC" 16-Nov-12 01-Jan-13 31-Dec-13 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Murphy's Group Home, LLC" 3703 Brady Street Greensboro NC 27401 3703 Brady Street Greensboro NC 27401 Guilford (336)437-2344 011051 MHL-060-757 "My B.R.O.T.H.E.R.'s House, Inc." 02-Jan-02 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Brite Horizon P.O. Box 25719 Charlotte NC 28229 12219 Windy Wood Court Charlotte NC 28273 Mecklenburg (704)588-6059 "My BROTHER's House, Inc." 990615 MHL-060-538 "My B.R.O.T.H.E.R.'s House, Inc." 16-Jun-99 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C MI RESIDENTL Highland Mist Home P.O. Box 25719 Charlotte NC 28229 913 Highland Mist Lane Charlotte NC 28216 Mecklenburg (704)569-9162 100918 MHL-034-221 "My Sister's Place Community Services, Inc." 11-Sep-07 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "My Sister's Place Community Services, Inc." 595 Waughtown Street Winston-Salem NC 27107 595 Waughtown Street Winston-Salem NC 27107 Forsyth (336)784-5922 100918 MHL-034-221 "My Sister's Place Community Services, Inc." 11-Sep-07 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "My Sister's Place Community Services, Inc." 595 Waughtown Street Winston-Salem NC 27107 595 Waughtown Street Winston-Salem NC 27107 Forsyth (336)784-5922 100880 MHL-098-139 "Myles Services, Inc." 04-Nov-09 01-Jan-13 31-Dec-13 Type A 23-Sep-10 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Myles's Services PO Box 4696 Wilson NC 27893 4338 US Hwy 264 Alt East Wilson NC 27893 Wilson (252)281-1880 "Frederick Myles, Jr. c/o: Miles Services" 956249 MHL-064-137 Myrna M. Vazquez-Pineda 10-Sep-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL House of Faith and Hope 1808 Old Mill Road Rocky Mount NC 27803 1808 Old Mill Road Rocky Mount NC 27803 Nash (252)210-2061 Myrna M. Vazquez-Pineda 922726 MHL-026-086 "Myrover-Reese Fellowship Homes, Inc." 01-Oct-91 01-Jan-13 31-Dec-13 Type A 06-Feb-09 - - 18 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Pat Reese Fellowship Home PO Box 64933 Fayetteville NC 28306 560-A Wilkes Road Fayetteville NC 28306 Cumberland (910)486-8718 "Myrover-Reese Fellowship Homes, Inc" 944871 MHL-026-005 "Myrover-Reese Fellowship Homes, Inc." 03-Apr-87 01-Jan-13 31-Dec-13 - - - - 11 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Myrover-Reese Fellowship Home PO Box 64933 Fayetteville NC 28306 613 Quality Road Fayetteville NC 28306 Cumberland (910)484-9393 "Myrover-Reese Fellowship Homes, Inc" 956331 MHL-026-214 "Myrover-Reese Fellowship Homes, Inc." 25-Sep-95 01-Jan-13 31-Dec-13 Type B 28-Mar-08 - - 16 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Ashton W. Lilly Home PO Box 64933 Fayetteville NC 28306 560 Wilkes Road Fayetteville NC 28306 Cumberland (910)486-0285 "Myrover-Reese Fellowship Homes, Inc" 080042 MHL-034-271 "NOA Human Services, LLC" 22-Oct-10 01-Jan-13 31-Dec-13 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL NOA Human Services PO Box 1073 Winston-Salem NC 27102 4420 Edrem Avenue Winston-Salem NC 27101 Forsyth (336)602-2534 "NOA Human Services, LLC" 061284 MHL-051-191 "NOVA IC, Inc." 15-Apr-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "NOVA - IC, Inc." P.O. Box 11077 Goldsboro NC 27532 1329 D North Brightleaf Blvd. Smithfield NC 27577 Johnston (919)934-3192 922265 MHL-096-019 "NOVA IC, Inc." 01-Dec-90 01-Jan-13 31-Dec-13 Type B 06-Jun-11 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Dr. James H. McGlone Developmental Center PO Box 11077 Goldsboro NC 27532 2010 Hwy 117 N. Bypass Goldsboro NC 27530 Wayne (919)734-8962 922265 MHL-096-019 "NOVA IC, Inc." 01-Dec-90 01-Jan-13 31-Dec-13 Type B 06-Jun-11 - - 0 27G.5400 Day Activity C&ADOL&A NONE DAY Dr. James H. McGlone Developmental Center PO Box 11077 Goldsboro NC 27532 2010 Hwy 117 N. Bypass Goldsboro NC 27530 Wayne (919)734-8962 922849 MHL-096-020 "NOVA IC, Inc." 01-Dec-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Highway 117 Group Home PO Box 11077 Goldsboro NC 27532 3801 US 117 North Goldsboro NC 27530 Wayne (919)734-8803 NOVA I.C. Inc. 922850 MHL-096-021 "NOVA IC, Inc." 01-Dec-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Airport Road Group Home PO Box 11077 Goldsboro NC 27532 195 Airport Road Goldsboro NC 27530 Wayne (919)734-1718 NOVA I.C. Inc. 945081 MHL-054-038 "NOVA IC, Inc." 29-Aug-94 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Washington Street East Group Home PO Box 11077 Goldsboro NC 27532 407 West Washington Street LaGrange NC 28551 Lenoir (252)566-2955 NOVA IC 951780 MHL-031-008 "NOVA IC, Inc." 01-Jan-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Rones Chapel Road Group Home PO Box 11077 Goldsboro NC 27532 119 Rones Chapel Road Mount Olive NC 28365 Duplin (919)658-6584 NOVA I.C. Inc. 060869 MHL-054-126 "NOVA, Inc" 02-Nov-06 01-Jan-13 31-Dec-13 Type A 12-Aug-09 - - 12 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Oakwood Facility PO Box 2277 Kinston NC 28502 2002 D & E Shackleford Road Kinston NC 28504 Lenoir (252)233-0494 "NOVA, Inc." 060871 MHL-054-125 "NOVA, Inc." 02-Nov-06 01-Jan-13 31-Dec-13 Type B Imposed 28-Sep-12 - - 12 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Pinewood Facility PO Box 2277 Kinston NC 28502 2002 A & B Shackleford Road Kinston NC 28502 Lenoir (252)233-0491 "Nova, Inc." 090404 MHL-054-159 "NOVA, Inc." 04-Apr-11 01-Jan-13 31-Dec-13 Suspension of Admission 22-Feb-13 - - 18 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Maplewood Facility P.O. Box 2277 Kinston NC 28502 2002-G Shackleford Road Kinston NC 28502 Lenoir (252)233-0491 NOVA. Inc. 000055 MHL-096-110 "NOVA-IC, Inc." 21-Jan-00 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Norwood Avenue Home PO Box 11077 Goldsboro NC 27532 2510 Norwood Avenue Goldsboro NC 27530 Wayne (919)731-4745 "NOVA-IC, Inc." 021035 MHL-096-104 Nancy Garris 19-Aug-99 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Nan Nan's Home Care 413 East Mulberry Street Goldsboro NC 27530 413 East Mulberry Street Goldsboro NC 27530 Wayne (919)736-7339 The Mentor Network 970499 MHL-032-164 Natalie Jones 24-Jul-97 01-Jan-13 31-Dec-13 Type B 08-Nov-10 - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Star Health Services (Spring Hill) P.O. Box 103 Semora NC 27343 600 Audubon Lake Drive Apt. 1A11 Durham NC 27713 Durham (919)544-9491 090483 MHL-077-055 National Mentor Healthcare LLCdba North Carolina MENTOR 13-Aug-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY NC Mentor Day Treatment Program-Fayetteville Road "3125 Poplarwood Court, Suite 300" Raleigh NC 27604 2202 Fayetteville Road Rockingham NC 28379 Richmond (910)997-2375 National Mentor Healthcare LLC 130153 MHL-062-028 National Mentor Healthcare LLCdba North Carolina MENTOR 13-Aug-09 22-Apr-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Green Ridge Day Treatment "3125 Poplarwood Ct, Ste 300" Raleigh NC 27604 "129 McCaskill Road, Room 216" Biscoe NC 27209 Montgomery (910)428-4196 National Mentor Healthcare LLC 100055 MHL-063-088 National Mentor Healthcare LLCdbaNorth Carolina MENTOR 11-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&A MI DAY NCMentor Day Treatment 150 McDonald Street 3125 Poplarwood Court Suite 300 Raleigh NC 27604 150 McDonald Street West End NC 27376 Moore (910)673-2323 National Mentor Healthcare LLC 100908 MHL-004-027 "National Mentor Healthcare, LLC" 05-Oct-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment ADOL MI DAY NC Mentor Day Treatment - 117 Wortham Street 3125 Poplarwood Court Suite 300 Raleigh NC 27604 "117 Wortham Street Rooms 10, 11, 15" Wadesboro NC 28170 Anson (704)994-2601 National Mentor Healthcare LLC 100909 MHL-076-100 "National Mentor Healthcare, LLC" 05-Oct-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment ADOL MI DAY NC Mentor - 600 South Fayetteville Street Program "3125 Poplarwood Court, Suite 300" Raleigh NC 27604 "600 South Fayetteville Street (Lower Level Rooms 1,2)" Asheboro NC 27203 Randolph (336)672-7500 National Mentor Healthcare LLC 070405 MHL-011-341 "National Mentor Healthcare, LLC" 01-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY PASS Day Treatment Program "3125 Poplarwood Ct., Ste. 300" Raleigh NC 27604 235 Old US 70 Swannanoa NC 28778 Buncombe (828)686-7734 "National Mentor Healthcare, LLC" 070407 MHL-011-342 "National Mentor Healthcare, LLC" 01-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY OASIS Day Treatment Program "3125 Poplarwood Ct., Ste. 300" Raleigh NC 27604 108 Elk Mountain Road Asheville NC 28803 Buncombe (828)232-4287 "National Mentor Healthcare, LLC" 070403 MHL-011-343 "National Mentor Healthcare, LLC" 01-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY New Beginnings Day Treatment Program "3125 Poplarwood Ct., Ste. 300" Raleigh NC 27604 730 Old US 70 Swannanoa NC 28778 Buncombe (828)686-7739 "National Mentor Healthcare, LLC" 110080 MHL-088-028 "National Mentor Healthcare, LLC" 01-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Odyssey "3125 Poplarwood Ct., Ste. 300" Raleigh NC 27604 400 Fisher Road Brevard NC 28712 Transylvania (828)884-2091 100459 MHL-088-029 "National Mentor Healthcare, LLC" 01-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Ballyhoo "3125 Poplarwood Ct., Ste. 300" Raleigh NC 27604 601 Greenville Highway Brevard NC 28712 Transylvania (828)884-2001 "National Mentor Healthcare, LLC" 110140 MHL-100-019 "National Mentor Healthcare, LLC" 01-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY G.E.M.S. Program "3125 Poplarwood Ct., Ste. 300" Raleigh NC 27604 505 Burnsville School Road Burnsville NC 28714 Yancey (828)682-9491 "National Mentor Healthcare, LLC" 030216 MHL-080-173 Nazareth Children's Home 01-Apr-08 01-Jan-13 31-Dec-13 - - - - 12 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL A.C.E Program PO Box 1438 Rockwell NC 28138 7920 Red Road Rockwell NC 28138 Rowan (704)213-7493 Nazareth Children's Home Inc 080560 MHL-060-1096 "Neal Residential Support Services, LLC" 03-Mar-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Neal Residential Support Services, LLC" 4728 Benthaven Lane Charlotte NC 28269 9826 Aviary Hill Way Charlotte NC 28214 Mecklenburg (704)858-2683 Jonathan Neal 120133 MHL-074-227 NeoGenesis LLC 21-Mar-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY NeoGenesis LLC 402 SW Greenville Boulevard Greenville NC 27834 406 SW Greenville Boulevard Greenville NC 27834 Pitt (252)355-9151 120133 MHL-074-227 NeoGenesis LLC 21-Mar-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY NeoGenesis LLC 402 SW Greenville Boulevard Greenville NC 27834 406 SW Greenville Boulevard Greenville NC 27834 Pitt (252)355-9151 120439 MHL-054-166 "NeoGensis, LLC" 08-Jan-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "NeoGenesis, LLC" 811 Hardee Road Kinston NC 27501 147 S. Caswell Street LaGrange NC 28551 Lenoir (252)522-9151 120439 MHL-054-166 "NeoGensis, LLC" 08-Jan-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "NeoGenesis, LLC" 811 Hardee Road Kinston NC 27501 147 S. Caswell Street LaGrange NC 28551 Lenoir (252)522-9151 922271 MHL-054-003 "Neuse Enterprises, Inc." 01-May-85 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Neuse Enterprises Inc. PO Box 1715 Kinston NC 28503 3800 Commerce Drive Kinston NC 28503 Lenoir (252)523-0817 922271 MHL-054-003 "Neuse Enterprises, Inc." 01-May-85 01-Jan-13 31-Dec-13 - - - - 0 27G.5500 Sheltered Workshops A MD DAY Neuse Enterprises Inc. PO Box 1715 Kinston NC 28503 3800 Commerce Drive Kinston NC 28503 Lenoir (252)523-0817 922271 MHL-054-003 "Neuse Enterprises, Inc." 01-May-85 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation NONE MR/DD DAY Neuse Enterprises Inc. PO Box 1715 Kinston NC 28503 3800 Commerce Drive Kinston NC 28503 Lenoir (252)523-0817 031187 MHL-031-001 "Neuse Enterprises, Inc." 01-Mar-85 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Neuse Enterprises - Omega P.O. Box 1715 Kinston NC 28503 125 Rockfish Plaza Wallace NC 28466 Duplin (910)285-6531 Neuse Enterprises Inc 922273 MHL-060-015 "Nevins, Inc." 01-Jun-85 01-Jan-13 31-Dec-13 Type A 08-Jan-09 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Nevins, Inc." 3523 Nevin Rd. Charlotte NC 28269 3523 Nevin Road Charlotte NC 28269 Mecklenburg (704)596-1372 110157 MHL-019-056 "New Beginnings Counseling Services, PLLC" 15-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "New Beginnings Counseling Services, PLLC" "900 S. Vance St., Ste. 900" Sanford NC 27330 "200 Sanford Road, Suite 2" Pittsboro NC 27312 Chatham (919)542-0047 120592 MHL-053-067 "New Beginnings Counseling Services, PLLC" 02-Dec-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "New Beginnings Counseling Services, PLLC" 1518 S. Horner Blvd. Sanford NC 27330 1518 S. Horner Blvd. Sanford NC 27330 Lee (919)718-1597 120592 MHL-053-067 "New Beginnings Counseling Services, PLLC" 02-Dec-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "New Beginnings Counseling Services, PLLC" 1518 S. Horner Blvd. Sanford NC 27330 1518 S. Horner Blvd. Sanford NC 27330 Lee (919)718-1597 010220 MHL-042-053 "New Beginnings Day Treatment Center, LLC" 09-Apr-09 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&A MD DAY "New Beginnings Day Treatment Center, LLC" PO Box 66 Roanoke Rapids NC 27870 544 Julian R. Allsbrook Highway Roanoke Rapids NC 27870 Halifax (252)537-7458 Cheryl K. Dixon 090826 MHL-046-031 "New Beginnings Program, LLC" 13-Sep-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY New Beginnings Program PO Box 57 Ahoskie NC 27910-0057 415 East Holloman Avenue Ahoskie NC 27910-2314 Hertford (252)332-8700 "New Beginnings Program, LLC" 090826 MHL-046-031 "New Beginnings Program, LLC" 13-Sep-10 01-Jan-13 31-Dec-13 - - - - 0 27G.2200 "School Year, Before/After School and Summer DD Services" C MR/DD DAY New Beginnings Program PO Box 57 Ahoskie NC 27910-0057 415 East Holloman Avenue Ahoskie NC 27910-2314 Hertford (252)332-8700 "New Beginnings Program, LLC" 070064 MHL-058-050 "New Beginnings With Love, Inc." 17-Aug-11 01-Jan-13 31-Dec-13 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL New Beginnings With Love Inc. Adult Facility 8410 NC 33 E Tarboro NC 27886 121 Harris Street Williamston NC 27892 Martin (252)792-3737 "New Beginnings With Love, Inc." 061190 MHL-033-061 "New Day New Beginning, LLC" 09-Oct-08 01-Jan-13 31-Dec-13 Type A 12-Apr-13 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL New Day New Beginning PO Box 2862 Rocy Mount NC 27802 616 Atlantic Avenue Rocky Mount NC 27801 Edgecombe (252)442-1295 921456 MHL-026-877 "New Destination, Inc." 01-Sep-09 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MR/DD RESIDENTL Arbor Residential P.O. Box 287 Rutherford College NC 28671 4710 Arbor Road Fayetteville NC 28301 Cumberland (910)920-2361 Arbor Residential 030687 MHL-068-143 "New Destinations, Inc." 01-Sep-09 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Serenity Crest P O Box 287 Rutherford College NC 28671 202 North Nash Street Hillsborough NC 27278 Orange (919)951-5843 "New Destinations, Inc." 010493 MHL-073-056 "New Destinations, Inc." 01-Sep-09 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Eden Square P.O. Box 287 Rutherford College NC 28671 219 North Foushee Street Roxboro NC 27573 Person (336)598-5988 "New Destinations, Inc." 921678 MHL-032-500 "New Destinations, Inc." 01-Sep-09 01-Jan-13 31-Dec-13 Type B 30-Sep-11 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Community House II-Durham P.O. Box 287 Rutherford College NC 28671 409 Ebon Road Durham NC 27713-1621 Durham (919)294-6909 "New Destinations, Inc." 921679 MHL-032-499 "New Destinations, Inc." 01-Sep-09 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Community House-Durham P. O. Box 287 Rutherford College NC 28671 1524 Southwood Drive Durham NC 27707 Durham (919)937-9018 "New Destinations, Inc." 030827 MHL-059-046 "New Destinations, Inc." 01-Feb-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY McDowell Psychosocial Rehabilitation Services PO Box 287 Rutherford College NC 28671 75 Crawford Street Marion NC 28752 McDowell (828)659-6480 McDowell PSR 980113 MHL-049-121 "New Destinations, Inc." 01-Feb-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Brookdale P.O. Box 287 Rutherford College NC 28671 711 Brookdale Drive Statesville NC 28677 Iredell (704)380-2903 "New Destinations, Inc." 956186 MHL-096-225 "New Destinations, Inc." 01-Feb-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Claiborne Place P.O. Box 287 Rutherford College NC 28671 404 S. Claiborne Street Goldsboro NC 27533 Wayne (919)288-2995 "New Destinations, Inc." 922863 MHL-031-071 "New Dimension Group, LLC" 25-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization C&ADOL&A MI DAY New Dimension Group PO Box 880 Rose Hill NC 28458 416 West Ridge Street Rose Hill NC 28458 Duplin (910)289-2610 "New Dimension Group, LLC" 922863 MHL-031-071 "New Dimension Group, LLC" 25-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY New Dimension Group PO Box 880 Rose Hill NC 28458 416 West Ridge Street Rose Hill NC 28458 Duplin (910)289-2610 "New Dimension Group, LLC" 922863 MHL-031-071 "New Dimension Group, LLC" 25-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY New Dimension Group PO Box 880 Rose Hill NC 28458 416 West Ridge Street Rose Hill NC 28458 Duplin (910)289-2610 "New Dimension Group, LLC" 922863 MHL-031-071 "New Dimension Group, LLC" 25-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY New Dimension Group PO Box 880 Rose Hill NC 28458 416 West Ridge Street Rose Hill NC 28458 Duplin (910)289-2610 "New Dimension Group, LLC" 922863 MHL-031-071 "New Dimension Group, LLC" 25-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY New Dimension Group PO Box 880 Rose Hill NC 28458 416 West Ridge Street Rose Hill NC 28458 Duplin (910)289-2610 "New Dimension Group, LLC" 120597 MHL-065-230 "New Dimension Group, LLC" 19-May-11 07-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Common Ground-Wilmington "416 W. Ridge St., PO BOX 880" Rose Hill NC 28458 402 Southern Blvd. Wilmington NC 28401 New Hanover (910)859-8199 "New Dimension Group, LLC" 120597 MHL-065-230 "New Dimension Group, LLC" 19-May-11 07-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Common Ground-Wilmington "416 W. Ridge St., PO BOX 880" Rose Hill NC 28458 402 Southern Blvd. Wilmington NC 28401 New Hanover (910)859-8199 "New Dimension Group, LLC" 090923 MHL-082-091 "New Dimension Group, LLC" 14-Jan-13 14-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment A MI DAY Vantage Pointe - Clinton PO Box 880 (416 West Ridge Street) Rose Hill NC 28458 101 West Elizabeth Street Clinton NC 28328 Sampson (910)590-2616 "New Dimension Group, LLC" 930005 MHL-001-165 "New Dimensions Intervention, Inc." 19-Aug-08 01-Jan-13 31-Dec-13 Type B 18-Jan-12 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL "New Dimensions Interventions, Inc." "111 Trail One, Suite 105" Burlington NC 27215 2856 Anderson Road Burlington NC 27217 Alamance (336)675-3215 100635 MHL-001-164 "New Dimensions Interventions, Inc." 19-Aug-08 01-Jan-13 31-Dec-13 Type B 14-Dec-11 - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL "New Dimensions Interventions, Inc." "111 Trail One, Suite 105" Burlington NC 27215 602 Piedmont Way Burlington NC 27215 Alamance (336)350-4804 040281 MHL-024-062 "New Directions Group Care Management, LLC" 21-Jul-04 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL The Hailey House 138 Memory Plaza Whiteville NC 28472 225 Honey Hill Road Hallsboro NC 28423 Columbus (910)641-0826 New Directions Group Care Mgmt LLC 090823 MHL-024-085 "New Directions Group Care Management, LLC" 10-Mar-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Enzor House PO Box 1442 Whiteville NC 28472 6089 Hinson's Crossroads Fair Bluff NC 28439 Columbus (910)640-1737 "New Directions Group Care Management, L.L.C." 921674 MHL-024-090 "New Directions Group Care Management, LLC" 01-Dec-10 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Columbus House P.O. Box 1442 Whiteville NC 28472 220 East Columbus Street Whiteville NC 28472 Columbus (910)642-5251 921615 MHL-024-091 "New Directions Group Care Management, LLC" 01-Dec-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Carroll House P.O. Box 1442 Whiteville NC 28472 605 Nolan Avenue Whiteville NC 28472 Columbus (910)640-1737 "New Directions Group Care Management, LLC" 120466 MHL-024-096 "New Directions Group Care Management, LLC" 01-Nov-12 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY New Directions Group Care Management PO Box 1442 Whiteville NC 28472 1080 Main Street Fair Bluff NC 28439 Columbus (910)649-7591 "New Directions Group Care Management, LLC" 041366 MHL-092-630 New Hope Management Services 12-Jul-05 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL New Hope Management Services 5834 Finestra Way Raleigh NC 27610 5834 Finestra Way Raleigh NC 27610 Wake (919)779-9469 New Hope Mgmt Svcs 020468 MHL-080-132 New Hope Residential Services 03-Jul-02 01-Jan-13 31-Dec-13 - - - - 3 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL New Hope Residential Services P.O. Box 5157 Salisbury NC 28144 204 Partee Street Salisbury NC 28144 Rowan (704)645-9900 040967 MHL-047-091 "New Horizon Group Home, LLC" 12-Nov-04 01-Jan-13 31-Dec-13 Type B 25-Jun-07 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "New Horizon Group Home, LLC" PO Box 2452 Lumberton NC 28359 497 Northwoods Drive Raeford NC 28376 Hoke (910)875-5360 "New Horizon Group Home, LLC" 100435 MHL-004-033 "New Horizon Group Home, LLC" 29-Jun-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "New Horizon Group Home, LLC" PO Box 2452 Lumberton NC 28359 21 NC Hwy 742 South Wadesboro NC 28170 Anson (704)695-1757 100376 MHL-041-967 New Horizons 20-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY New Horizons 202 Exchange Place Suite B Greensboro NC 27401 202 Exchange Place Suite B Greensboro NC 27401 Guilford (336)553-0015 090229 MHL-099-022 "New Horizons Adult Day Services, Inc." 01-Jul-08 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MD DAY New Horizons Adult Day Services P O Box 1969 Yadkinville NC 27055 1917 Old Hwy 421 West Yadkinville NC 27055 Yadkin (336)677-1385 "New Horizons Adult Day Services, Inc." 070523 MHL-001-153 "New Horizons Group Home, Inc." 06-Dec-07 01-Jan-13 31-Dec-13 Type B 07-Aug-12 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Rolling House 502 Westgate Drive Elon NC 27244 121 Rolling Road Burlington NC 27217 Alamance (336)266-3320 Alfreda Parker Graves 110964 MHL-076-110 "New Horizons Treatment Center, Inc." 22-May-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "New Horizons Treatment Center, Inc." 7201 Mason Road Climax NC 27233 169 Burns Street Asheboro NC 27203 Randolph (336)202-4920 011292 MHL-060-802 "New Leaf Adolescent Care, Inc." 10-Apr-02 01-Jan-13 31-Dec-13 - - - - 3 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Water Mill Home PO Box 560291 Charlotte NC 28256-0291 6801 Water Mill Court Charlotte NC 28215 Mecklenburg (704)910-4029 New Leaf Adolescent Care 030293 MHL-090-146 "New Leaf Adolescent Care, Inc." 01-Aug-03 01-Jan-13 31-Dec-13 Type B 28-Sep-11 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Hampton Meadows Home PO Box 560291 Charlotte NC 28256 5101 Hampton Meadows Road Monroe NC 28110 Union (704)283-9115 New Leaf Adolescent Care Inc 120119 MHL-032-506 "New Outlook...Second Chance, Inc." 16-Oct-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "New Outlook...Second Chance, Inc." PO Box 802 Durham NC 27701 "2604 Carver Street, Suite C" Durham NC 27705 Durham (919)682-4771 020841 MHL-060-648 "New Place, Inc." 07-May-01 01-Jan-13 31-Dec-13 Type A 31-Jan-11 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Turn Around 6612 East Harris Blvd. Suite D Charlotte NC 28215 3418 Stonemarsh Court Charlotte NC 28269 Mecklenburg (704)509-1506 "New Place, Inc." 020003 MHL-060-776 "New Place, Inc." 05-Feb-02 01-Jan-13 31-Dec-13 Type A 24-Nov-08 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL New Place "6612 E Harris Blvd. , Ste. D" Charlotte NC 28215 5601 Faulconbridge Road Charlotte NC 28227 Mecklenburg (704)563-8169 "New Place, Inc." 021030 MHL-060-1059 "New Place, Inc." 29-Mar-08 01-Jan-13 31-Dec-13 Type A 31-Jan-11 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL New Horizons 6612 E. Harris Blvd. Ste. D Charlotte NC 28215-5134 8134 Strawberry Point Drive Charlotte NC 28212 Mecklenburg (704)910-4335 "New Place, Inc." 070543 MHL-001-155 "New Possibilities Home for Children, LLC" 14-Dec-07 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Donye's House PO Box 2701 Burlington NC 27215 813 Trail One Burlington NC 27215 Alamance (336)261-3427 New Possibilities Home For Children 100321 MHL-041-954 "New Progressions, LLC" 08-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "New Progressions, LLC" 620-G Guilford College Road Greensboro NC 27409 624-E Guilford College Road Greensboro NC 27409 Guilford (336)617-4362 "G&D Residnetial Services, LLC" 100322 MHL-041-955 "New Progressions, LLC" 08-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "New Progressions, LLC" 620-G Guilford College Road Greensboro NC 27409 620-B Guilford College Road Greensboro NC 27409 Guilford (336)292-1588 050552 MHL-041-1033 "New Progressions, LLC" 09-Nov-11 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "New Progressions, LLC" 620-G Guilford College Rd. Greensboro NC 27409 1208 Sloan Street Greensboro NC 27401 Guilford (336)292-1588 952292 MHL-003-003 "New River Cottage, Inc." 10-Oct-84 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "New River Cottage, Inc." P.O. Box 488 Sparta NC 28675 82 Davis Lane Sparta NC 28675 Alleghany (336)372-2592 110504 MHL-023-175 "New Transitions, LLC" 04-Nov-11 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL New Transitions Residential Facility 918 Airport Road Shelby NC 28150 918 Airport Road Shelby NC 28150 Cleveland (704)222-2805 "New Transitions, LLC" 945135 MHL-013-033 "New-Lite Living Choices, Inc." 19-Sep-94 01-Jan-13 31-Dec-13 Type A 16-Jun-10 16-Dec-10 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Divine K III P.O. Box 1310 Concord NC 28026 172 Woodland Drive Concord NC 28025 Cabarrus (704)886-6288 "New-Lite Living Choices, Inc." 955136 MHL-013-032 "New-Lite Living Choices, Inc." 19-Sep-94 01-Jan-13 31-Dec-13 Type A 12-Apr-13 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Divine K IV P.O. Box 1310 Concord NC 28026 2211 Carolina Avenue Kannapolis NC 28001 Cabarrus (704)932-9780 "New-Lite Living Choices, Inc." 001251 MHL-080-101 "Newpath Youth Services, Inc." 09-Oct-00 01-Jan-13 31-Dec-13 Provisional 23-Jul-08 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Fresh Start-Boundary House PO Box 4084 Salisbury NC 28144 426 North Boundary Street Salisbury NC 28144 Rowan (704)637-2109 "Fresh Start Services, Inc." 011047 MHL-080-122 "Newpath Youth Services, Inc." 26-Nov-01 01-Jan-13 31-Dec-13 Type A 20-Nov-07 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Chances Group Home 421 N. Long Street Salisbury NC 28144 712 West Fisher Street Salisbury NC 28144 Rowan (704)645-8889 Fresh Start Youth Services 020094 MHL-013-090 "Newpath Youth Services, Inc." 28-Feb-02 01-Jan-13 31-Dec-13 Suspension of Admission 27-Jul-12 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Tournament Street PO Box 4084 Salisbury NC 28144 174 Tournament Drive SW Concord NC 28027 Cabarrus (704)721-5369 "Fresh Start Services, Inc." 080251 MHL-032-446 "Next Level Adolescent Services, Inc." 22-May-08 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Next Level Adolescent Services Inc. PO Box 15123 New Bern NC 28561 "1107 Holloway Street, Suite 100" Durham NC 27701 Durham (919)683-6398 Next Level Adolescent Services Inc. 080251 MHL-032-446 "Next Level Adolescent Services, Inc." 22-May-08 01-Jan-13 31-Dec-13 - - - - 0 27G.2200 "School Year, Before/After School and Summer DD Services" C&ADOL MD DAY Next Level Adolescent Services Inc. PO Box 15123 New Bern NC 28561 "1107 Holloway Street, Suite 100" Durham NC 27701 Durham (919)683-6398 Next Level Adolescent Services Inc. 060640 MHL-098-161 "Nia Children and Family Services, LLC" 06-May-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Nia Children and Family Services 504 East Green St. Wilson NC 27893 504 East Green St. Wilson NC 27893 Wilson (252)291-5585 021127 MHL-092-658 Nnebuchi Nwankwo 27-Oct-06 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Avalon #2 "4428 Louisburg Road, Suite 209" Raleigh NC 27616 201 Rand Mill Road Garner NC 27529 Wake (919)772-9870 Nnebuchi Nwankwo 101226 MHL-049-126 "No Bounds Care, Inc." 03-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY No Bounds Care 10820 Tradition View Court Charlotte NC 28269 "125 East Plaza Drive, Suite 104 & 105" Mooresville NC 28115 Iredell (704)663-5052 "No Bounds Care, Inc." 101226 MHL-049-126 "No Bounds Care, Inc." 03-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY No Bounds Care 10820 Tradition View Court Charlotte NC 28269 "125 East Plaza Drive, Suite 104 & 105" Mooresville NC 28115 Iredell (704)663-5052 "No Bounds Care, Inc." 101226 MHL-049-126 "No Bounds Care, Inc." 03-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY No Bounds Care 10820 Tradition View Court Charlotte NC 28269 "125 East Plaza Drive, Suite 104 & 105" Mooresville NC 28115 Iredell (704)663-5052 "No Bounds Care, Inc." 100824 MHL-039-042 "Noble Behavioral Healthcare Services, Inc." 05-Oct-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Noble Behavioral Healthcare Services, Inc" P.O. Box 2526 Oxford NC 27565 117 McClanahan Street Oxford NC 27565 Granville (919)400-6401 990743 MHL-060-547 "North Carolina Life of Rehabilitation, Inc." 06-Aug-99 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "NC Life of Rehabilitation, Inc." P.O. Box 845 Huntersville NC 28070 206 Cottonwood Park Drive Huntersville NC 28214 Mecklenburg (704)393-3514 920843 MHL-059-036 "North Carolina Outreach Group Homes, LLC" 20-Dec-07 01-Jan-13 31-Dec-13 - - - - 9 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Nebo Group Home 327 N. Logan Street Marion NC 28752-3782 2121 Old Highway #10 E. Nebo NC 28761 McDowell (828)652-7613 Nebo Group Home 070423 MHL-045-095 "North Carolina Outreach Home Care, LLC" 16-Aug-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Wike- Early Home 327 North Logan Street Marion NC 28752 119 Wynn Brook Drive Hendersonville NC 28792 Henderson (828)652-2112 "North Carolina Outreach Home Care, LLC" 100953 MHL-100-017 "North Carolina Outreach Home Care, LLC" 18-Oct-10 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Magnolia Day Program 327 North Logan Street Marion NC 28752 24 North Main Street Burnsville NC 28714 Yancey (828)682-2220 "North Carolina Outreach Home Care, LLC" 110156 MHL-011-323 "North Carolina Outreach Home Care, LLC" 05-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Dogwood Day Program 327 North Logan Street Marion NC 28752 1298 Tunnel Road Asheville NC 28805 Buncombe (828)676-1656 "North Carolina Outreach Home Care, LLC" 110548 MHL-011-336 "North Carolina Outreach Home Care, LLC" 01-Oct-11 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL The McClain Home 327 N. Logan St. Marion NC 28752 7 Bee Wood Lane Swannanoa NC 28778 Buncombe (828)686-0887 "North Carolina Outreach Home Care, LLC" 120438 MHL-059-062 "North Carolina Outreach Home Care, LLC" 06-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY Kudzu Day Program 327 North Logan Street - Suite A Marion NC 28752 327 North Logan Street - Suite B Marion NC 28752 McDowell (828)652-2112 "North Carolina Outreach Home Care, LLC" 100999 MHL-088-030 "North Carolina Outreach Home Care, LLC" 23-Oct-12 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY Azalea Day Program "327 North Logan Street, Suite A" Marion NC 28752 3431 Asheville Highway Pisgah Forest NC 28768 Transylvania (828)877-2112 "North Carolina Outreach Home Care, LLC" 100743 MHL-011-354 "North Carolina Outreach Home Care, LLC" 08-Feb-13 08-Feb-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services C&ADOL&A MI RESIDENTL Cloud Nine 327 N. Logan St. Marion NC 28752 3 Saxons Walkway Black Mountain NC 28711 Buncombe (828)669-2994 "North Carolina Outreach Home Care, LLC" 100743 MHL-011-354 "North Carolina Outreach Home Care, LLC" 08-Feb-13 08-Feb-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MI RESIDENTL Cloud Nine 327 N. Logan St. Marion NC 28752 3 Saxons Walkway Black Mountain NC 28711 Buncombe (828)669-2994 "North Carolina Outreach Home Care, LLC" 030803 MHL-011-357 "North Carolina Outreach Home Care, LLC" 16-Apr-13 16-Apr-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Beverly's Place 327 North Logan Street Marion NC 28752 211 Mountain Crest Road Swanannoa NC 28778 Buncombe (828)686-0602 "North Carolina Outreach Home Care, LLC" 000342 MHL-096-114 "Nova IC, Inc." 12-Apr-00 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Holly Street Home PO Box 11077 Goldsboro NC 27532 1509 Holly Street Goldsboro NC 27530 Wayne (919)734-8803 Nova I.C. Inc. 922264 MHL-054-019 "Nova IC, Inc." 01-Dec-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF LaGrange Home PO Box 11077 Goldsboro NC 27532 405 West Washington Street La Grange NC 28551 Lenoir (252)566-2080 "Nova-IC, Inc." 942318 MHL-054-018 "Nova IC, Inc." 01-Mar-89 01-Jan-13 31-Dec-13 Type B 05-Jan-06 19-Feb-06 0 27G.1400 Day Treatment C&ADOL MI DAY New Beginnings Kinston PO Box 11077 Goldsboro NC 27532 306 West Vernon Avenue Kinston NC 28501 Lenoir (252)527-8508 NOVA IC Inc 942318 MHL-054-018 "Nova IC, Inc." 01-Mar-89 01-Jan-13 31-Dec-13 Type B 05-Jan-06 19-Feb-06 0 27G.1100 Partial Hospitalization A MI DAY New Beginnings Kinston PO Box 11077 Goldsboro NC 27532 306 West Vernon Avenue Kinston NC 28501 Lenoir (252)527-8508 NOVA IC Inc 955398 MHL-096-037 "Nova IC, Inc." 18-Jan-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Daughtry Field Road Group Home PO Box 11077 Goldsboro NC 27532 135 Daughtry Field Road Mount Olive NC 28365 Wayne (919)734-8803 "Nova IC, Inc." 020861 MHL-096-216 "Nova IC, Inc." 08-Dec-08 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY New Beginnings P.O. Box 11077 Goldsboro NC 27532 1216 North Drive Goldsboro NC 27534 Wayne (919)580-0188 Joy B. Cox 070119 MHL-092-726 "Novella's Place, Inc." 28-Sep-07 01-Jan-13 31-Dec-13 Type B 10-Dec-10 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Novella's Place, Inc." PO Box 98493 Raleigh NC 27624 2128 Old Milburnie Road Raleigh NC 27604 Wake (919)266-0146 Ronald Evans 110307 MHL-074-235 "Nu Look on Life, LLC" 10-Aug-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Nu Look on Life, LLC" PO Box 30651 Greenville NC 27833 2423-B Winter Village Drive Winterville NC 28590 Pitt (252)756-5667 110307 MHL-074-235 "Nu Look on Life, LLC" 10-Aug-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Nu Look on Life, LLC" PO Box 30651 Greenville NC 27833 2423-B Winter Village Drive Winterville NC 28590 Pitt (252)756-5667 100068 MHL-046-030 "NuVizions, LLC" 01-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "NuVizions, LLC" PO Box 804 Ahoskie NC 27910 101 Main Street West Ahoskie NC 27910 Hertford (252)332-2297 "NuVizions, LLC" 990573 MHL-001-064 "OE Enterprises, Inc." 24-Jun-99 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs C&A MR/DD DAY OE Enterprises Inc at Alamance 348 Elizabeth Brady Road Hillsborough NC 27278 717 N. Park Ave Burlington NC 27215 Alamance (336)513-4400 990573 MHL-001-064 "OE Enterprises, Inc." 24-Jun-99 01-Jan-13 31-Dec-13 - - - - 0 27G.5500 Sheltered Workshops C&A MD DAY OE Enterprises Inc at Alamance 348 Elizabeth Brady Road Hillsborough NC 27278 717 N. Park Ave Burlington NC 27215 Alamance (336)513-4400 060422 MHL-068-126 "OE Enterprises, Inc." 25-Aug-06 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs NONE NONE DAY OE Enterprises Inc. 348 Elizabeth Brady Road Hillsborough NC 27278 348 Elizabeth Brady Road Hillsborough NC 27278 Orange (919)732-8124 060422 MHL-068-126 "OE Enterprises, Inc." 25-Aug-06 01-Jan-13 31-Dec-13 - - - - 0 27G.5500 Sheltered Workshops C&ADOL&A MD DAY OE Enterprises Inc. 348 Elizabeth Brady Road Hillsborough NC 27278 348 Elizabeth Brady Road Hillsborough NC 27278 Orange (919)732-8124 090070 MHL-032-473 "OE Enterprises, Inc." 12-Mar-09 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY "OE Enterprises, Inc." 348 Elizabeth Brady Road Hillsborough NC 27278 "1804 Martin Luther King Expressway, Suite 111" Durham NC 27707 Durham (919)493-6553 "OE Enterprises, Inc." 110952 MHL-018-093 "Oakwood Recovery Place, LLC" 02-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Oakwood Recovery Place PO Box 2352 Hickory NC 28603 323 2nd Street NW Hickory NC 28601 Catawba (828)855-9595 061228 MHL-011-272 "October Road, Inc." 15-Dec-06 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "October Road, Inc." 119 Tunel Road Suite B Asheville NC 28805 "119 Tunnel Road, Suite B" Asheville NC 28805 Buncombe (828)350-1000 Ms. Margaret George 061228 MHL-011-272 "October Road, Inc." 15-Dec-06 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "October Road, Inc." 119 Tunel Road Suite B Asheville NC 28805 "119 Tunnel Road, Suite B" Asheville NC 28805 Buncombe (828)350-1000 Ms. Margaret George 061228 MHL-011-272 "October Road, Inc." 15-Dec-06 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "October Road, Inc." 119 Tunel Road Suite B Asheville NC 28805 "119 Tunnel Road, Suite B" Asheville NC 28805 Buncombe (828)350-1000 Ms. Margaret George 080454 MHL-057-025 "October Road, Inc." 26-Aug-08 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY October Road Inc. - Mars Hill "119 Tunnel Road, Suite B" Asheville NC 28805 525 Cascade Street Mars Hill NC 28754 Madison (828)350-1000 "October Road, Inc." 080454 MHL-057-025 "October Road, Inc." 26-Aug-08 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY October Road Inc. - Mars Hill "119 Tunnel Road, Suite B" Asheville NC 28805 525 Cascade Street Mars Hill NC 28754 Madison (828)350-1000 "October Road, Inc." 020860 MHL-092-515 "Omega Independent Living Services, Inc." 08-Oct-02 01-Jan-13 31-Dec-13 Type A 09-Jun-11 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Omega Independent Living Services Site I 3029 Stony Brook Drive Suite 105 Raleigh NC 27604 5529 Continental Way Raleigh NC 27610 Wake (919)803-6867 Omega Independent Living Services Inc 040082 MHL-092-589 "Omega Independent Living Services, Inc." 06-Apr-04 01-Jan-13 31-Dec-13 Type B 25-Jan-11 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Omega Independent Living Services Site III "3029 Stonybrook Drive, Ste. 105" Raleigh NC 27604 408 Latimer Road Raleigh NC 27609 Wake (919)788-8687 "Omega Independent Living Services, Inc." 040422 MHL-092-595 "Omega Independent Living Services, Inc." 14-May-04 01-Jan-13 31-Dec-13 Type A 02-Jul-12 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Omega Independent Living Services Site II "3029 Stonybrook Drive, Ste. 105" Raleigh NC 27604 4012 Mackinac Island Lane Raleigh NC 27610 Wake (919)301-8397 "Omega Independent Living Svcs, Inc." 030035 MHL-092-661 "Omega Independent Living Services, Inc." 10-Oct-06 01-Jan-13 31-Dec-13 Type A 15-Nov-11 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Omega Independent Living Services Inc. Site V "3029 Stonybrook Dr., Ste. 105" Raleigh NC 27604 2716 Denbel Circle Raleigh NC 27604 Wake (919)327-2178 Omega Independent Living Services Inc. 090684 MHL-092-748 "Omega Independent Living Services, Inc." 23-Sep-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Royal Oaks Academy "3029 Stonybrook Drive, Suite 105" Raleigh NC 27604 804 East Edenton Street Raleigh NC 27610 Wake (919)255-3268 "Omega Independent Living Services, Inc." 031172 MHL-097-038 "Omni Visions, Inc." 17-Jul-00 01-Jan-13 31-Dec-13 Type A 10-May-07 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Old 60 Home "910 C Street, Ste 8" N. Wilkesboro NC 28659 258 Old Highway 60 Wilkesboro NC 28697 Wilkes (336)838-0838 Crystal Nunnemaker 080603 MHL-097-026 "Omni Visions, Inc." 08-Aug-97 01-Jan-13 31-Dec-13 Type B 09-Feb-09 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL 268 Home "910 C Street, Suite 8" North Wilkesboro NC 28659 2551 Highway 268 E North Wilkesboro NC 28659 Wilkes (336)667-7124 Omni Visions Inc. 971388 MHL-097-040 "Omni Visions, Inc." 26-Jun-01 01-Jan-13 31-Dec-13 Type B 02-Jul-07 - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hackett III Home "910 C Street., Ste. 8" N. Wilkesboro NC 28659 113 Hackett Street North Wilkesboro NC 28659 Wilkes (336)428-6108 040369 MHL-097-055 "Omni Visions, Inc." 02-Jun-04 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sparta Road Home "910 C Street, Ste 8" N. Wilkesboro NC 28659 77 Sparta Road North Wilkesboro NC 28659 Wilkes (336)667-6217 Omni Visions Inc. 060222 MHL-097-056 "Omni Visions, Inc." 27-Apr-06 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Winkler Mill Road Home 910 C. St Suite 8 N. Wilkesboro NC 28659 1193 Winkler Mill Road Wilkersboro NC 28697 Wilkes (336)667-3055 944776 MHL-095-045 "Omni Visions, Inc." 01-Aug-08 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hodges Valley Home "910 C Street, Ste. 8" "North Wilkesboro," NC 28659 127 Evening Shade Lane Boone NC 28607 Watauga (828)297-5861 Omni Visions 090806 MHL-029-116 "Omni Visions, Inc." 24-Mar-10 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL McDaniel AFL "910 C Street, Suite 8" North Wilkesboro NC 28659 286 Charity Lane Linwood NC 27299 Davidson (336)853-6241 "Omni Visions, Inc." 100912 MHL-029-121 "Omni Visions, Inc." 24-Jan-11 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL AFL - Garrison "910 C Street, Suite 8" North Wilkesboro NC 28659 5193 NC Highway 47 Lexington NC 27292 Davidson (336)746-4939 "Omni Visions, Inc." 120422 MHL-099-028 "Omni Visions, Inc." 15-Apr-13 15-Apr-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL AFL - Donardt "910 C. Street, Ste. #8" N. Wilkesboro NC 28659 3601 Fall Creek Church Road Jonesville NC 28642 Yadkin (336)258-2457 "Omni Visions, Inc." 001519 MHL-011-210 Onas W. Perry 02-Jan-01 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A NONAMB1 RESIDENTL Ona's Place 5 Whitson Road Ashville NC 28805 5 Whitson Road Ashville NC 28805 Buncombe (828)299-0629 Onas W. Perry 040543 MHL-011-251 "Onas's Place, Inc." 01-Jul-04 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MD RESIDENTL Onas's Place 1 5 Whitson Road Asheville NC 28805 132 Kirkwood Drive Asheville NC 28805 Buncombe (828)298-4467 Onas's Place Inc. 100755 MHL-011-324 "Onas's Place, Inc." 24-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Onas's Place - PSR 5 Whitson Road Asheville NC 28805 39 Choctaw Street Asheville NC 28801-4536 Buncombe (828)225-3606 110537 MHL-011-334 "Onas's Place, Inc." 10-Aug-11 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY All In One Day Hab Service 5 Whitson Road Asheville NC 28805 202 B Asheland Avenue Asheville NC 28801 Buncombe (828)225-5115 "ONAS'S PLACE, INC." 110795 MHL-070-058 "One Care, Inc." 27-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY One Care Behavioral Treatment Center PO Box 1207 Wake Forest NC 27588 211 North Road Street Elizabeth City NC 27909 Pasquotank (252)335-9403 "One Care, Inc." 110795 MHL-070-058 "One Care, Inc." 27-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY One Care Behavioral Treatment Center PO Box 1207 Wake Forest NC 27588 211 North Road Street Elizabeth City NC 27909 Pasquotank (252)335-9403 "One Care, Inc." 120172 MHL-012-095 "One Love Periodic Services, Inc." 16-Jul-04 01-Jan-13 31-Dec-13 - - - - 4 27G.1300 Residential Treatment Level II C&ADOL MR/DD RESIDENTL Oak House 110 S. Sterling Street Morganton NC 28655 216 Valdese Avenue Drexel NC 28619 Burke (828)391-1949 "One Love Periodic Services, Inc." 130088 MHL-077-075 "One Love Periodic Services, Inc." 26-Feb-13 26-Feb-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY One Love Periodic Services/Day Treatment 109 West Franklin Street Rockingham NC 28379 417 Hood Street Rockingham NC 28379 Richmond (910)997-4401 "One Love Periodic Services, Inc." 040550 MHL-060-1060 "One Step Forward Outreach, Inc." 19-Jun-08 01-Jan-13 31-Dec-13 Type A 02-Dec-11 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL One Step Forward Outreach 10000 Woody Ridge Road Charlotte NC 28273 10000 Woody Ridge Road Charlotte NC 28273 Mecklenburg (704)523-4299 080213 MHL-096-214 "One To One With Youth, Inc." 21-Aug-08 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "One to One With Youth, Inc." 307 East Beech Street Goldsboro NC 27530-2818 801-A Poplar Street Goldsboro NC 27530 Wayne (919)731-4876 Danny King 110056 MHL-096-237 "One To One With Youth, Inc." 01-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "One to One With Youth, Inc." 307 East Beech Street Goldsboro NC 27530 612 Breazeale Avenue Mount Olive NC 28365 Wayne (919)299-4351 110247 MHL-098-162 "One To One With Youth, Inc." 12-May-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "One to One With Youth, Inc." 307 East Beech Street Goldsboro NC 27530-2818 "3011 Highway 42 West, Suite G" Wilson NC 27893 Wilson (252)991-3985 921208 MHL-023-081 One on One Care Inc. 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL One on One Care Home C PMB 109 1161 East Marion Street Shelby NC 28150 1977 Eaves Road Shelby NC 28152 Cleveland (704)487-7713 One on One Care Inc. 981043 MHL-023-082 One on One Care Inc. 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL One on One Care Home D PMB 109-1161 E. Marion Street Shelby NC 28150 908 West Cabaniss Road Shelby NC 28151 Cleveland (704)434-2622 One on One Care 080333 MHL-023-143 One on One Care Inc. 18-Jun-08 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Club 1 "PMB 109, 1161 East Marion Street" Shelby NC 28150 209 Lee Street Shelby NC 28150 Cleveland (704)482-4134 "One on One Care, Inc." 091001 MHL-023-158 One on One Care Inc. 08-Dec-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Caring Way 104 "1161 East Marion Street, PMB 109" Shelby NC 28150 104 Caring Way Shelby NC 28150 Cleveland (704)487-7722 "One on One Care, Inc." 091003 MHL-023-160 One on One Care Inc. 08-Dec-09 01-Jan-13 31-Dec-13 Type B 11-Oct-10 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Caring Way 114 "1161 East Marion Street, PMB 109" Shelby NC 28150 114 Caring Way Shelby NC 28150 Cleveland (704)481-2171 "One on One Care, Inc." 091002 MHL-023-159 One on One Care Inc. 08-Dec-09 01-Jan-13 31-Dec-13 Type A 26-Aug-11 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Caring Way 110 "1161 East Marion Street, PMB 109" Shelby NC 28150 110 Caring Way Shelby NC 28150 Cleveland (704)487-6611 "One on One Care, Inc." 110300 MHL-023-170 One on One Care Inc. 13-Sep-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL One on One Care - Caring Way (1161 East Marion Street) PMB 109 Shelby NC 28150 115 Caring Way Shelby NC 28150 Cleveland (704)484-2345 "One on One Care, Inc." 110301 MHL-023-161 One on One Care Inc. 01-Dec-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Caring Way 118 (1161 East Marion Street) PMB 109 Shelby NC 28150 118 Caring Way Shelby NC 28150 Cleveland (704)481-1278 "One on One Care, Inc." 120508 MHL-081-096 "One on One Care, Inc." 09-Oct-12 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY Club 1-Forest City PMB 109-1161 East Marion Street Shelby NC 28150 "182 Sparks Drive, Suite 1" Forest City NC 28043 Rutherford (828)287-9240 "One on One Care, Inc." 100996 MHL-081-097 "One on One Care, Inc." 16-Oct-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL One on One Care #8 "PMB 109, 1161 East Marion Street" Shelby NC 28150 1998 Harris-Henrietta Road Mooresboro NC 28114 Rutherford (828)657-9737 "One on One Care, Inc." 110416 MHL-096-251 "One to One With Youth, Inc." 28-Nov-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "One to One With Youth, Inc." 307 E. Beech Street Goldsboro NC 27530 "612 South Breazeale Avenue, Suite 108" Mount Olive NC 28365 Wayne (919)299-4450 110980 MHL-092-831 "OneCare, Inc." 19-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization ADOL&A MI DAY OneCare Behavioral Treatment Center PO Box 1207 Wake Forest NC 27588 150-A North White Street Wake Forest NC 27587 Wake (919)556-4443 One Care Inc. 110980 MHL-092-831 "OneCare, Inc." 19-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation ADOL&A MI DAY OneCare Behavioral Treatment Center PO Box 1207 Wake Forest NC 27588 150-A North White Street Wake Forest NC 27587 Wake (919)556-4443 One Care Inc. 110980 MHL-092-831 "OneCare, Inc." 19-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment ADOL&A MI DAY OneCare Behavioral Treatment Center PO Box 1207 Wake Forest NC 27588 150-A North White Street Wake Forest NC 27587 Wake (919)556-4443 One Care Inc. 110980 MHL-092-831 "OneCare, Inc." 19-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY OneCare Behavioral Treatment Center PO Box 1207 Wake Forest NC 27588 150-A North White Street Wake Forest NC 27587 Wake (919)556-4443 One Care Inc. 110980 MHL-092-831 "OneCare, Inc." 19-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY OneCare Behavioral Treatment Center PO Box 1207 Wake Forest NC 27588 150-A North White Street Wake Forest NC 27587 Wake (919)556-4443 One Care Inc. 971159 MHL-070-059 "OneCare, Inc." 13-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY OneCare Behavioral Treatment Center PO Box 1207 Wake Forest NC 27588 305 East Main Street Elizabeth City NC 27909 Pasquotank (252)335-9400 "OneCare, Inc." 971159 MHL-070-059 "OneCare, Inc." 13-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY OneCare Behavioral Treatment Center PO Box 1207 Wake Forest NC 27588 305 East Main Street Elizabeth City NC 27909 Pasquotank (252)335-9400 "OneCare, Inc." 971159 MHL-070-059 "OneCare, Inc." 13-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY OneCare Behavioral Treatment Center PO Box 1207 Wake Forest NC 27588 305 East Main Street Elizabeth City NC 27909 Pasquotank (252)335-9400 "OneCare, Inc." 971159 MHL-070-059 "OneCare, Inc." 13-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY OneCare Behavioral Treatment Center PO Box 1207 Wake Forest NC 27588 305 East Main Street Elizabeth City NC 27909 Pasquotank (252)335-9400 "OneCare, Inc." 120427 MHL-060-1161 "OneCare, Inc." 03-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY OneCare Behavioral Treatment Center PO Box 1207 Wake Forest NC 27588 "521 Clanton Road, Suite A" Charlotte NC 28217 Mecklenburg (704)392-9222 "OneCare, Inc." 120427 MHL-060-1161 "OneCare, Inc." 03-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY OneCare Behavioral Treatment Center PO Box 1207 Wake Forest NC 27588 "521 Clanton Road, Suite A" Charlotte NC 28217 Mecklenburg (704)392-9222 "OneCare, Inc." 090039 MHL-033-065 "Open Arms Family Services, Inc." 24-Jun-09 01-Jan-13 31-Dec-13 Type B 03-Jan-12 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Open Arms Family Services, Inc." 612 Mayfair Drive Rocky Mount NC 27803 1649 Harper Street Rocky Mount NC 27801 Edgecombe (252)210-2941 080025 MHL-058-028 "Open Arms Residential & Community Support, Inc." 06-Mar-08 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Open Arms Day Treatment PO Box 107 Robersonville NC 27871 606 West Green Street Robersonville NC 27871 Martin (252)795-5004 "Open Arms Community Support, Inc." 080025 MHL-058-028 "Open Arms Residential & Community Support, Inc." 06-Mar-08 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Open Arms Day Treatment PO Box 107 Robersonville NC 27871 606 West Green Street Robersonville NC 27871 Martin (252)795-5004 "Open Arms Community Support, Inc." 110306 MHL-054-148 "Open Arms Residential and Community Support, Inc." 26-Jan-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Doretha Morning Center PO Box 107 Robersonville NC 2781 317 North Queen Street Kinston NC 28501 Lenoir (252)522-2566 "Open Arms Residential & Community Support, Inc." 080764 MHL-058-044 "Open Arms Residential and Community Support, Inc." 22-Jan-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Rita Powell Center P.O. Box 107 Robersonville NC 27871 110 East Railroad Street Robersonville NC 27871 Martin (252)795-5004 "Open Arms Residential and Community Support, inc." 120497 MHL-041-1023 "Open Arms Treatment Center, Inc." 21-Jun-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Open Arms Treatment Center 3911 SE Jack Pine Court Greensboro NC 27406 "2301 W. Meadowview Road, Suite 203" Greensboro NC 27407 Guilford (336)617-0469 051432 MHL-001-130 "Open Arms, LLC" 27-Feb-06 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Open Arms, LLC ""Serenity""" 4460 Hwy 54 Graham NC 27253 1009-A E. Webb Avenue Burlington NC 27215 Alamance (336)228-7662 "Open Arms, LLC" 101004 MHL-011-235 Open Hearts Art Center 15-Apr-02 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Open Hearts Art Center 5 Woodland Drive Asheville NC 28806 5 Woodland Drive Asheville NC 28806 Buncombe (828)505-8428 090843 MHL-036-283 "Opportunity Awaits, Inc." 14-Jul-10 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Opportunity Awaits PO Box 550925 Gastonia NC 28055-0925 760-A North New Hope Road Gastonia NC 28054 Gaston (704)810-9133 "Opportunity Awaits, Inc." 080336 MHL-032-481 Our Daily Living 08-May-09 01-Jan-13 31-Dec-13 Suspension of Admission 30-Apr-12 - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Our Daily Living 102 E. Murray Avenue Durham NC 27704 102 E. Murray Avenue Durham NC 27704 Durham (919)220-8160 021219 MHL-036-201 "Our Hands of Hope, Inc." 01-Apr-03 01-Jan-13 31-Dec-13 Type B 24-Feb-11 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL The Essential Home #1 PO Box 1551 Gastonia NC 28053 148 Hunters Pointe Drive Dallas NC 28034 Gaston (704)263-4922 Our Hands of Hope 030235 MHL-032-299 "Outreach Home, Inc." 15-Aug-03 01-Jan-13 31-Dec-13 Type A 10-Nov-08 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Outreach Home 305 Shalimar Drive Durham NC 27713 2826 South Roxboro Road Durham NC 27707 Durham (919)401-8352 Outreach Home Inc. 030235 MHL-032-299 "Outreach Home, Inc." 15-Aug-03 01-Jan-13 31-Dec-13 Type A 10-Nov-08 - - 6 27G.5100 Community Respite Services A MD RESIDENTL Outreach Home 305 Shalimar Drive Durham NC 27713 2826 South Roxboro Road Durham NC 27707 Durham (919)401-8352 Outreach Home Inc. 050203 MHL-032-355 "Outreach Home, Inc." 09-Nov-05 01-Jan-13 31-Dec-13 Type A 27-Aug-12 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Outreach Home 3 305 Shalimar Drive Durham NC 27713 1717 North Alston Avenue Durham NC 27701 Durham (919)683-2707 050640 MHL-036-270 "Outreach Management Services, LLC" 15-Jun-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization A MI DAY Outreach Management Services-PH Program P.O. Box 206 Pineville NC 28134 "1723 Armstrong Park Drive, Ste. A, B and C" Gastonia NC 28056 Gaston (704)854-9828 Alexander Walker 090477 MHL-036-271 "Outreach Management Services, LLC" 15-Jun-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Outreach Management Services-SAIOP Program P O Box 206 Pineville NC 28134 "1723 Armstrong Drive, Ste D and F" Gastonia NC 28054 Gaston (704)854-9828 Outreach Management Services 920884 MHL-039-029 Oxford Group Home. 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Oxford Group Home P.O. Box 88 Henderson NC 27536 605 North Country Club Drive Oxford NC 27565 Granville (919)693-1694 Oxford Group Home 050230 MHL-091-075 P & W Group LLC 08-Nov-05 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL P & W Group Homes 2636 Warrenton Road Henderson NC 27537 2636 Warrenton Road Henderson NC 27537 Vance (252)438-2510 James E. Watkins 080062 MHL-091-084 "P&W Group, LLC" 04-Mar-08 20-Mar-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY P & W Group Day Service 215 Horner Street Henderson NC 27536 215 Horner Street Henderson NC 27536 Vance (252)436-9543 James Watkins 922227 MHL-009-010 P.C. Contract Management Services 01-Nov-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Midlake Residential 801 Wilson Street Whiteville NC 28472 68 Hillside Street Clarkton NC 28433 Bladen (910)647-4421 Community Innovations 050070 MHL-032-349 P.H.P. of N.C. Inc. 01-Aug-05 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Winburn PO Box 20014 Durham NC 27707 2415 Winburn Avenue Durham NC 27704 Durham (919)683-6140 "P.H.P. of NC, Inc." 050070 MHL-032-349 P.H.P. of N.C. Inc. 01-Aug-05 01-Jan-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services A MR/DD RESIDENTL Winburn PO Box 20014 Durham NC 27707 2415 Winburn Avenue Durham NC 27704 Durham (919)683-6140 "P.H.P. of NC, Inc." 120480 MHL-092-865 P.H.P. of N.C. Inc. 13-Jun-01 09-Apr-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY P.H.P. ACTIVITY CENTER 1500 E. Club Blvd. Durham NC 27704 700 B Pony Road Zebulon NC 27597 Wake (919)375-4702 P.H.P. of N.C. Inc. 120480 MHL-092-865 P.H.P. of N.C. Inc. 13-Jun-01 09-Apr-13 31-Dec-13 - - - - 0 27G.5400 Day Activity NONE MD DAY P.H.P. ACTIVITY CENTER 1500 E. Club Blvd. Durham NC 27704 700 B Pony Road Zebulon NC 27597 Wake (919)375-4702 P.H.P. of N.C. Inc. 960147 MHL-032-133 "P.H.P. of N.C., Inc." 05-Mar-96 01-Jan-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services A MR/DD DAYRESL The Sherman House PO Box 20014 Durham NC 27707 1712 Sherman Avenue Durham NC 27707 Durham (919)688-6454 "P.H.P. of N.C., Inc." 960147 MHL-032-133 "P.H.P. of N.C., Inc." 05-Mar-96 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Sherman House PO Box 20014 Durham NC 27707 1712 Sherman Avenue Durham NC 27707 Durham (919)688-6454 "P.H.P. of N.C., Inc." 040788 MHL-074-145 PORT Human Services 14-Jul-04 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY PORT Human Services-Nelson Site 4300-110 Sapphire Court Greenville NC 27834 114 East Third Street Greenville NC 27834 Pitt (252)752-2431 040789 MHL-074-146 PORT Human Services 14-Jul-04 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY PORT Human Services-Paladin Site 4300-110 Sapphire Court Greenville NC 27834 501 Paladin Drive Greenville NC 27834 Pitt (252)353-5346 PORT Human Services 040789 MHL-074-146 PORT Human Services 14-Jul-04 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY PORT Human Services-Paladin Site 4300-110 Sapphire Court Greenville NC 27834 501 Paladin Drive Greenville NC 27834 Pitt (252)353-5346 PORT Human Services 040789 MHL-074-146 PORT Human Services 14-Jul-04 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY PORT Human Services-Paladin Site 4300-110 Sapphire Court Greenville NC 27834 501 Paladin Drive Greenville NC 27834 Pitt (252)353-5346 PORT Human Services 090336 MHL-025-204 PORT Human Services 10-May-06 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Port Human Services 4300-110 Sapphire Court Greenville NC 27834 1309 Tatum Drive New Bern NC 28562 Craven (252)672-8742 Port Human Services 090336 MHL-025-204 PORT Human Services 10-May-06 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A NONE DAY Port Human Services 4300-110 Sapphire Court Greenville NC 27834 1309 Tatum Drive New Bern NC 28562 Craven (252)672-8742 Port Human Services 101038 MHL-070-052 PORT Human Services 15-Nov-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY PORT Human Services 4300-110 Sapphire Court Greenville NC 27834 "1141 North Road Street, Suite L" Elizabeth City NC 27909 Pasquotank (252)331-0803 945058 MHL-065-224 PORT Human Services 20-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY PORT Human Services - New Visions 4300-110 Sapphire Court Greenville NC 27834 1390 South 16th Street Wilmington NC 28401 New Hanover (910)251-5326 945058 MHL-065-224 PORT Human Services 20-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY PORT Human Services - New Visions 4300-110 Sapphire Court Greenville NC 27834 1390 South 16th Street Wilmington NC 28401 New Hanover (910)251-5326 080748 MHL-065-225 PORT Human Services 20-Feb-11 01-Jan-13 31-Dec-13 - - - - 9 27G.4100 Therapeutic Homes for Individuals With SA Disorders And C&ADOL&A SAS RESIDENTL PORT Human Services - SEARISE 4300-110 Sapphire Court Greenville NC 27834 605 Nixon Street Wilmington NC 28401 New Hanover (910)251-8995 Port Human Services 945147 MHL-065-226 PORT Human Services 20-Feb-11 01-Jan-13 31-Dec-13 - - - - 12 27G.4100 Therapeutic Homes for Individuals With SA Disorders And C&ADOL&A SAS RESIDENTL PORT Human Services - Kelly House 4300-110 Sapphire Court Greenville NC 28434 1507 Martin Street Wilmington NC 28401 New Hanover (910)251-8944 East Coast Solutions 090319 MHL-065-228 PORT Human Services 20-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY PORT Human Services 4300-110 Sapphire Court Greenville NC 27834 605 #2 Nixon Street Wilmington NC 28401 New Hanover (910)254-4816 090319 MHL-065-228 PORT Human Services 20-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY PORT Human Services 4300-110 Sapphire Court Greenville NC 27834 605 #2 Nixon Street Wilmington NC 28401 New Hanover (910)254-4816 922656 MHL-065-229 PORT Human Services 20-Feb-11 01-Jan-13 31-Dec-13 - - - - 16 27G.5600E Supervised Living SA Adult A SAS RESIDENTL PORT Human Services - Stepping Stone Manor 4300-110 Sapphire Court Greenville NC 27834 416 Walnut Street Wilmington NC 28401 New Hanover (910)762-1743 East Coast Solutions 110241 MHL-071-032 PORT Human Services 02-May-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL&A MI DAY Port Human Services - Burgaw 4300-110 Sapphire Court Greenville NC 27834 314 Progress Drive Extension Burgaw NC 28425 Pender (910)259-5212 Port Human Services 110957 MHL-074-237 PORT Human Services 21-Nov-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY PORT Human Services - Beacon 4300-110 Sapphire Court Greenville NC 27834 "154 Beacon Street, Suite I" Winterville NC 28590 Pitt (252)353-1114 PORT Human Services 110956 MHL-028-018 PORT Human Services 16-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY PORT Human Services-New Horizons 4300-110 Sapphire Ct. Greenville NC 27834 "2808 South Croatan Highway, Suite B" Nags Head NC 27959 Dare (252)441-2324 PORT Human Services 010713 MHL-074-111 "PORT Human Services, Inc." 30-Jul-01 01-Jan-13 31-Dec-13 - - - - 10 27G.5600D Supervised Living SA Minor C&ADOL SAS RESIDENTL PORT Program 4300-110 Sapphire Court Greenville NC 27834 114 Health Drive Greenville NC 27834 Pitt (252)413-1950 945018 MHL-074-039 "PORT Human Services, Inc." 25-Jul-94 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY PORT Program 4300-110 Sapphire Court Greenville NC 27834 116 Health Drive Greenville NC 27834 Pitt (252)413-1950 945018 MHL-074-039 "PORT Human Services, Inc." 25-Jul-94 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY PORT Program 4300-110 Sapphire Court Greenville NC 27834 116 Health Drive Greenville NC 27834 Pitt (252)413-1950 080210 MHL-086-051 "PQA Healthcare, Inc." 28-Aug-08 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Alpha Club 701 South Main Street Dobson NC 27017 701 South Main Street Dobson NC 27017 Surry (336)356-2600 Khalil Nassar 080864 MHL-086-052 "PQA Healthcare, Inc." 28-Aug-08 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Alpha Club 2 701 South Main Street Dobson NC 27017 705 South Main Street Dobson NC 27017 Surry (336)356-2600 "PQA Helathcare, Inc." 120108 MHL-085-036 "PQA Healthcare, Inc." 05-Mar-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Alpha Club 5 701 South Main Street Dobson NC 27017 741 Spainhour Road King NC 27021 Stokes (336)985-6514 "PQA Healthcare, Inc." 120204 MHL-034-298 "PQA Healthcare, Inc." 19-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Alpha Club 6 701 South Main Street Dobson NC 27017 300 Northgate Park Drive Winston-Salem NC 27106 Forsyth (336)306-9690 "PQA Healthcare, Inc." 120440 MHL-049-120 "PQA Healthcare, Inc." 01-Feb-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Alpha Club 4 701 South Main Street Dobson NC 27017 409 East Front Street Statesville NC 28677 Iredell (704)872-4077 "PQA Healthcare, Inc." 130051 MHL-079-124 "PQA Healthcare, Inc." 27-Feb-13 27-Feb-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "PQA Healthcare, Inc. Alpha Club 7" 701 South Main Street Dobson NC 27017 105 E. Decatur Street Madison NC 27025 Rockingham (336)949-4037 "PQA Healthcare, Inc." 130120 MHL-086-053 "PQA Healthcare, Inc." 01-Feb-13 15-Apr-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Alpha Club 3 701 South Main Street Dobson NC 27017 452 Franklin Street Mount Airy NC 27030 Surry (336)786-1751 "PQA Healthcare, Inc." 990752 MHL-026-933 "PTP-Lisbon, Inc." 30-Aug-12 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hearts of Hope Home Place 4132 Lisbon Road Council NC 28434 1808 Conover Drive Fayetteville NC 28304 Cumberland (910)426-7992 "PTP-Lisbon, Inc." 100830 MHL-078-194 "Palmer Prevention, Inc." 29-Jun-07 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Palmer Prevention, Inc." PO Box 3959 Pembroke NC 28372 208 North Main Street Pembroke NC 28372 Robeson (910)522-0421 070176 MHL-001-128 Pam Fogleman 09-Dec-04 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Pam Fogleman 1205 Bethpage Drive Mebane NC 27302-8372 1205 Bethpage Drive Mebane NC 27302 Alamance (919)304-0960 Pam Fogleman 070324 MHL-064-125 Pamela Daniels 05-Aug-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Daniels' Family Care 1400 West Mount Drive Rocky Mount NC 27803 1400 West Mount Drive Rocky Mount NC 27803 Nash (252)972-6995 Attn: Pamela Daniels 101085 MHL-053-059 Pamela Hooker and Aja Mcleod 29-Nov-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL&A MI DAY VCA Day Treatment PO Box 2656 Sanford NC 27331 "136 Carbonton Road, Suite B" Sanford NC 27330 Lee (919)774-3112 Pamela Hooker and Aja Mcleod 030461 MHL-074-136 "Paradigm, Inc." 23-Oct-03 01-Jan-13 31-Dec-13 Type B 27-Sep-07 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Paradigm, Inc." PO Box 31091 Greenville NC 27833 4001 Old Pactolus Road Greenville NC 27834 Pitt (252)561-8112 "Paradigm, Inc." 090410 MHL-074-209 "Paradigm, Inc." 14-Aug-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY J B Center PO Box 31091 Greenville NC 27833-1091 "2820 East 10th Street, Suite A" Greenville NC 27858 Pitt (252)561-8112 "Paradigm, Inc." 090410 MHL-074-209 "Paradigm, Inc." 14-Aug-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY J B Center PO Box 31091 Greenville NC 27833-1091 "2820 East 10th Street, Suite A" Greenville NC 27858 Pitt (252)561-8112 "Paradigm, Inc." 090410 MHL-074-209 "Paradigm, Inc." 14-Aug-09 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY J B Center PO Box 31091 Greenville NC 27833-1091 "2820 East 10th Street, Suite A" Greenville NC 27858 Pitt (252)561-8112 "Paradigm, Inc." 120416 MHL-074-242 "Paradigm, Inc." 28-Sep-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Paradigm III PO Box 31091 Greenville NC 27833 4003 Old Pactolus Road Greenville NC 27834 Pitt (252)565-8152 "Paradigm, Inc." 960436 MHL-098-180 "Paradigm, Inc." 05-Oct-12 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Paradigm V PO Box 31091 Greenville NC 27833 107 East Macon Street Stantonsburg NC 27883 Wilson (252)238-3815 "Paradigm, Inc." 130081 MHL-074-231 "Paradigm, Inc." 18-Apr-11 11-Apr-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Paradigm II PO Box 31091 Greenville NC 27833 1216-A Masters Lane Winterville NC 28590 Pitt (252)215-0114 "Paradigm, Inc." 920173 MHL-026-658 Parker Investments Limited 15-Jun-01 01-Jan-13 31-Dec-13 Type B 07-Mar-13 - - 8 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Carol's DDA Group Home PO Box 334 Fayetteville NC 28301 334 Moore Street Fayetteville NC 28301 Cumberland (910)323-2575 Parker Investments Limited 951923 MHL-081-072 "Parkway Behavioral Health, LLC" 01-Jul-07 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Parkway Behavioral Health 31 College Place B-100 Asheville NC 28801-2400 271 Callahan Koon Road Spindale NC 28160 Rutherford (828)288-8773 "Parkway Behavioral Health, LLC" 090126 MHL-011-273 "Parkway Behavioral Health, LLC" 01-Jan-07 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Parkway Behavioral Health "31 College Place, B-100" Asheville NC 28801 "31 College Place, B-100" Asheville NC 28801 Buncombe (828)254-5008 Parkway Behavioral Health 070592 MHL-045-072 "Parkway Behavioral Health, LLC" 01-Jul-07 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Parkway Behavioral Health 31 College Place B-100 Asheville NC 28801 120 South Grove Street Hendersonville NC 28792 Henderson (828)697-2660 "Parkway Behavioral Health, LLC" 110538 MHL-032-566 "Parriss & Associate Resource Center, Inc." 22-Sep-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Parriss & Associate Resource Center, Inc." "3215 Guess Rd., Ste. 209" Durham NC 27705 "3215 Guess Road, Suite #209" Durham NC 27705 Durham (919)471-1347 922482 MHL-011-026 "Partnership for a Drug Free-NC, Inc." 08-Jun-88 01-Jan-13 31-Dec-13 - - - - 22 27G.3400 Residential Treatment/Rehabilitation C&ADOL&A SAS RESIDENTL Robert S. Swain Recovery Center 665 West Fourth Street Winston-Salem NC 27101 932 Old US Highway 70 Black Mountain NC 28711 Buncombe (828)669-4161 Robert S. Swain Recovery Center 942653 MHL-034-003 "Partnership for a Drug-Free NC, Inc." 01-Oct-84 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone ADOL&A SAS DAY Insight Human Services-Forsyth 665 West Fourth Street Winston Salem NC 27101 665 West Fourth Street Winston Salem NC 27101 Forsyth (336)725-8389 "Partnership for a Drug-Free NC, Inc." 942653 MHL-034-003 "Partnership for a Drug-Free NC, Inc." 01-Oct-84 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA NONE SAS DAY Insight Human Services-Forsyth 665 West Fourth Street Winston Salem NC 27101 665 West Fourth Street Winston Salem NC 27101 Forsyth (336)725-8389 "Partnership for a Drug-Free NC, Inc." 942653 MHL-034-003 "Partnership for a Drug-Free NC, Inc." 01-Oct-84 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program NONE SAS DAY Insight Human Services-Forsyth 665 West Fourth Street Winston Salem NC 27101 665 West Fourth Street Winston Salem NC 27101 Forsyth (336)725-8389 "Partnership for a Drug-Free NC, Inc." 942653 MHL-034-003 "Partnership for a Drug-Free NC, Inc." 01-Oct-84 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment NONE SAS DAY Insight Human Services-Forsyth 665 West Fourth Street Winston Salem NC 27101 665 West Fourth Street Winston Salem NC 27101 Forsyth (336)725-8389 "Partnership for a Drug-Free NC, Inc." 110298 MHL-011-249 "Partnership for a Drug-Free NC, Inc." 01-Dec-03 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Women's Recovery Center 665 West Fourth Street Winston-Salem NC 27101 26 North Liberty Street Asheville NC 28801 Buncombe (828)350-8343 "Partnership for a Drug-Free NC, Inc." 040691 MHL-051-144 Passionate Care Group Homes 28-Sep-04 01-Jan-13 31-Dec-13 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Passionate Care Group Home #1 "200 West Ash Street, Ste. 107" Goldsboro NC 27530 105 Walnut Creek Drive Clayton NC 27520 Johnston (919)359-1927 Passionate Care Services 941736 MHL-029-006 "Path of Hope, Inc." 01-Jan-89 01-Jan-13 31-Dec-13 Type A 18-Apr-08 - - 12 27G.3400 Residential Treatment/Rehabilitation A SAS DAY&RESL Path of Hope PO Box 1824 Lexington NC 27293-1824 1675 East Center Street Extension Lexington NC 27292 Davidson (336)248-8914 "Path of Hope, Inc." 941736 MHL-029-006 "Path of Hope, Inc." 01-Jan-89 01-Jan-13 31-Dec-13 Type A 18-Apr-08 - - 0 27G.3700 Day Treatment for SA A SAS DAY&RESL Path of Hope PO Box 1824 Lexington NC 27293-1824 1675 East Center Street Extension Lexington NC 27292 Davidson (336)248-8914 "Path of Hope, Inc." 941736 MHL-029-006 "Path of Hope, Inc." 01-Jan-89 01-Jan-13 31-Dec-13 Type A 18-Apr-08 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Path of Hope PO Box 1824 Lexington NC 27293-1824 1675 East Center Street Extension Lexington NC 27292 Davidson (336)248-8914 "Path of Hope, Inc." 941736 MHL-029-006 "Path of Hope, Inc." 01-Jan-89 01-Jan-13 31-Dec-13 Type A 18-Apr-08 - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Path of Hope PO Box 1824 Lexington NC 27293-1824 1675 East Center Street Extension Lexington NC 27292 Davidson (336)248-8914 "Path of Hope, Inc." 941737 MHL-029-007 "Path of Hope, Inc." 01-Mar-87 01-Jan-13 31-Dec-13 Type A 18-Apr-08 - - 6 27G.3400 Residential Treatment/Rehabilitation C&ADOL&A SAS RESIDENTL "Path of Hope, Inc." PO Box 1824 Lexington NC 27293 1675 East Center Street Ext. Lexington NC 27292 Davidson (336)248-8914 "Path of Hope, Inc." 090318 MHL-029-114 "Path of Hope, Inc." 05-Aug-09 01-Jan-13 31-Dec-13 - - - - 11 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Path of Hope PO Box 1824 Lexington NC 27293-1824 1677 East Center Street Extension Lexington NC 27292 Davidson (336)248-8914 "Path of Hope, Inc." 100639 MHL-092-783 "Pathways for People, Inc." 21-Jul-10 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY "Pathways for People, Inc. Day Program" 203 New Edition Court Cary NC 27511 108 New Edition Court Cary NC 27511 Wake (919)297-7254 "Pathways for People, Inc." 100639 MHL-092-783 "Pathways for People, Inc." 21-Jul-10 01-Jan-13 31-Dec-13 - - - - 0 27G.5100 Community Respite Services A MI DAY "Pathways for People, Inc. Day Program" 203 New Edition Court Cary NC 27511 108 New Edition Court Cary NC 27511 Wake (919)297-7254 "Pathways for People, Inc." 130036 MHL-074-220 "Pathways to Life, Inc." 19-May-10 15-Feb-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Pathways to Life, Inc." 1202 E. Firetower Rd Greenville NC 27858 1202 E. Firetower Road Greenville NC 27858 Pitt (252)695-0269 130036 MHL-074-220 "Pathways to Life, Inc." 19-May-10 15-Feb-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Pathways to Life, Inc." 1202 E. Firetower Rd Greenville NC 27858 1202 E. Firetower Road Greenville NC 27858 Pitt (252)695-0269 130164 MHL-041-1073 "Pathways to Life, Inc." 11-Apr-13 11-Apr-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment ADOL MI DAY "Pathways to Life, Inc." 1202 E. Firetower Road Greenville NC 27858 701 Ferndale Boulevard Room 002 High Point NC 27262 Guilford (336)819-2855 "Pathways to Life, Inc." 110305 MHL-034-295 Patrecih R. Taylor 25-Mar-12 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Faithful Companion Group Home PO Box 12576 Winston-Salem NC 27127 2002 Craver Meadows Court Winston-Salem NC 27117 Forsyth (336)529-6196 Patrecih Taylor 110305 MHL-034-295 Patrecih R. Taylor 25-Mar-12 01-Jan-13 31-Dec-13 - - - - 0 Faithful Companion Group Home PO Box 12576 Winston-Salem NC 27127 2002 Craver Meadows Court Winston-Salem NC 27117 Forsyth (336)529-6196 Patrecih Taylor 110931 MHL-051-145 Patricia Barfield 13-Dec-11 01-Jan-13 31-Dec-13 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Cornerstone Residential Services #2 PO Box 1175 Kenly NC 27542 237 Oliver Street Pine Level NC 27577 Johnston (919)351-0696 Patricia Barfield 040423 MHL-066-014 Patricia Vinson 05-Jan-08 01-Jan-13 31-Dec-13 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Residential Loving Care PO Box 681 Woodland NC 27897 2924 Bryantown Road Rich Square NC 27869 Northampton (252)539-2139 Patricia Vinson 090068 MHL-097-057 Paul Rauscher 31-Mar-06 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY First Things First-Wilkesboro "820 State Farm Rd.,SteE" Boone NC 28607 1216-B School Street Wilkesboro NC 28697 Wilkes (336)667-8555 Paul Rauscher 090068 MHL-097-057 Paul Rauscher 31-Mar-06 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY First Things First-Wilkesboro "820 State Farm Rd.,SteE" Boone NC 28607 1216-B School Street Wilkesboro NC 28697 Wilkes (336)667-8555 Paul Rauscher 021034 MHL-041-938 "Paul's Loving Care, Inc." 28-Jan-10 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Paul's Loving Care, Inc." 4224-C Edith Lane Greensboro NC 27409-2844 3406 Fern Place Greensboro NC 27408 Guilford (336)790-0277 Paul'slovingscare@bellsouth.net 960642 MHL-075-005 Pavillon International 30-Aug-96 01-Jan-13 31-Dec-13 - - - - 46 27G.3400 Residential Treatment/Rehabilitation A SAS DAY&RESL Pavillon International 241 Pavillon Place Mill Spring NC 28756 241 Pavillon Place Mill Spring NC 28756 Polk (828)694-2300 960642 MHL-075-005 Pavillon International 30-Aug-96 01-Jan-13 31-Dec-13 - - - - 4 27G.5000 Facility Crisis Svcs. for all Disability Groups A MI DAY&RESL Pavillon International 241 Pavillon Place Mill Spring NC 28756 241 Pavillon Place Mill Spring NC 28756 Polk (828)694-2300 960642 MHL-075-005 Pavillon International 30-Aug-96 01-Jan-13 31-Dec-13 - - - - 5 27G.3100 Non-hospital Medical Detoxification NONE SAS DAY&RESL Pavillon International 241 Pavillon Place Mill Spring NC 28756 241 Pavillon Place Mill Spring NC 28756 Polk (828)694-2300 960642 MHL-075-005 Pavillon International 30-Aug-96 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY Pavillon International 241 Pavillon Place Mill Spring NC 28756 241 Pavillon Place Mill Spring NC 28756 Polk (828)694-2300 990616 MHL-086-032 "Peace Lily Development, Inc." 12-Jul-99 01-Jan-13 31-Dec-13 - - - - 9 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Peace Lily #2 P.O. Box 705 Dobson NC 27017 101 Peace Lily Lane Dobson NC 27017 Surry (336)386-8458 990633 MHL-086-034 "Peace Lily Development, Inc." 02-Jul-99 01-Jan-13 31-Dec-13 - - - - 9 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Peace Lily #1 PO Box 705 Dobson NC 27017 103 Peace Lily Lane Dobson NC 27017 Surry (336)386-8289 020231 MHL-026-709 "Pearl's Angel Care, Inc." 06-Jun-02 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Pearl's Angel Care, Inc." 1545 Stackhouse Drive Fayetteville NC 28314 1423 Grandview Drive Fayetteville NC 28314 Cumberland (910)257-6060 Betty Washington 090125 MHL-073-047 Peggy Davis McDaniel 02-May-06 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL McDaniel Home #3 PO Box 1636 Roxboro NC 27573 1790 McGhee Mill Road Roxoboro NC 27574 Person (336)599-9171 Peggy Davis-McDaniel 990962 MHL-026-823 "Pelham Supportive Services, Inc." 06-Sep-06 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Pelham Group Home #1 949 Country Club Drive Fayetteville NC 28301 1712 Shiloh Drive Fayetteville NC 28304 Cumberland (910)448-7633 Pelham Supportive Services 020313 MHL-026-824 "Pelham Supportive Services, Inc." 06-Sep-06 01-Jan-13 31-Dec-13 Type A 17-Sep-12 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Pelham Group Home #2 949 Country Club Drive Fayetteville NC 28301 4906 Redwood Drive Fayetteville NC 28304 Cumberland (910)826-2990 "Pelham Supportive Services, Inc." 080103 MHL-026-854 "Pelham Supportive Services, Inc." 03-Jul-08 01-Jan-13 31-Dec-13 Type A 17-May-11 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Pelham Group Home III 949 Country Club Drive Fayetteville NC 28301 5740 Longview Drive Fayetteville NC 28306 Cumberland (910)425-4168 "Pelham Supportive Services, Inc." 100177 MHL-026-903 "Pelham Supportive Services, Inc." 17-Aug-10 01-Jan-13 31-Dec-13 Type B Imposed 14-Aug-12 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Pelham Group Home #4 949 Country Club Drive Fayetteville NC 28301 2226 Memory Street Fayetteville NC 28304 Cumberland (910)429-0081 "Pelham Supportive Services, Inc." 110219 MHL-078-284 "Pelham Supportive Services, Inc." 15-Jul-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Pelham PSR Day Program 949 Country Club Drive Fayetteville NC 28301 315 A West Broad Street St. Pauls NC 28384 Robeson (910)865-3358 "Pelham Supportive Services, Inc." 920382 MHL-041-776 Penny S. Chisholm 07-Mar-06 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Chisholm Homes I 431 N. Scientific Street High Point NC 27260 431 N. Scientific Street High Point NC 27260 Guilford (336)887-2402 110900 MHL-034-275 "People Helping People of North Carolina, LLC" 28-Nov-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY The Unity Center "1510 Martin St., Ste. 201" Winston-Salem NC 27103 1100 West First Street Winson-Salem NC 27101 Forsyth (336)724-9768 "People Helping People of NC, LLC/ Melissa Walton" 080860 MHL-067-100 "People of Potential, Inc." 20-Oct-99 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C MD RESIDENTL Courtland 113 Courtland Drive Jacksonville NC 28546 113 Courtland Drive Jacksonville NC 28546 Onslow (910)265-1756 "People of Potential, Inc." 100202 MHL-039-048 "Perfect Foundation, Inc." 21-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Perfect Foundation, Inc." PO Box 1154 Oxford NC 23927 "1419 College Street, Suite A" Oxford NC 27565 Granville (919)693-3898 "Perfect Foundation, Inc." 080624 MHL-060-1081 "Person Centered Partnerships, Inc." 22-Oct-08 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Bridges Clubhouse "5601 Executive Center Dr., Ste. 201" Charlotte NC 28212 3600 North Tryon Street Charlotte NC 28206 Mecklenburg (704)319-2590 "Person Centered Partnerships, Inc." 000443 MHL-060-587 "Person Centered Partnerships, Inc." 01-Feb-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY SAIL 5601 Executive Ctr Dr Ste 101 Charlotte NC 28212 "5601 Executive Center Drive, Ste. 101" Charlotte NC 28212 Mecklenburg (704)561-0920 "Person Centered Partnerships, Inc." 000443 MHL-060-587 "Person Centered Partnerships, Inc." 01-Feb-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY SAIL 5601 Executive Ctr Dr Ste 101 Charlotte NC 28212 "5601 Executive Center Drive, Ste. 101" Charlotte NC 28212 Mecklenburg (704)561-0920 "Person Centered Partnerships, Inc." 001343 MHL-073-036 "Person County Group Homes, Inc." 21-Nov-00 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Wesleyan Heights Group Home PO Box 721 Roxboro NC 27573 205 Wesleyan Heights Roxboro NC 27573 Person (336)599-9421 "Person County Group Homes, Inc" 001344 MHL-073-035 "Person County Group Homes, Inc." 21-Nov-00 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Morehead Street Group Home PO Box 721 Roxboro NC 27573 026 Morehead Street Roxboro NC 27573 Person (336)599-3680 "Person County Group Homes, Inc." 001349 MHL-073-037 "Person County Group Homes, Inc." 21-Nov-00 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Winhaven Street Group Home PO Box 721 Roxboro NC 27573 230 Winhaven Street Roxboro NC 27573 Person (336)597-2101 "Person County Group Homes, Inc." 001397 MHL-073-034 "Person County Group Homes, Inc." 21-Nov-00 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Main Street Group Home PO Box 721 Roxboro NC 27573 411 South Main Street Roxboro NC 27573 Person (336)599-2997 "Person County Group Homes, Inc." 921625 MHL-073-005 "Person County Group Homes, Inc." 01-Aug-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL ICF Cates Street ICF/MR PO Box 721(202 North Main St.) Roxboro NC 27573 306 Cates Street Roxboro NC 27573 Person (336)599-0973 "Person County Group Homes, Inc." 944323 MHL-073-012 "Person County Group Homes, Inc." 26-Jan-94 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Frank Street ICF/MR PO Box 721 Roxboro NC 27573 719 Frank Street Roxboro NC 27573 Person (336)599-6722 "Person County Group Homes, Inc." 960612 MHL-073-019 "Person County Group Homes, Inc." 21-Aug-96 11-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Farm PO Box 721 Roxboro NC 27573 363 Jerry Dixon Road Leasburg NC 27291 Person (336)599-1348 "Person County Group Homes, Inc." 980522 MHL-073-026 "Person County Group Homes, Inc." 01-May-98 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Willow Lane PO Box 721 Roxboro NC 27573 380 Jerry Dixon Road Leasburg NC 27291 Person (336)599-7663 "Person County Group Homes, Inc." 980523 MHL-073-027 "Person County Group Homes, Inc." 01-May-98 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Winhaven Street Supported Living Program PO Box 721 Roxboro NC 27573 222 Winhaven Street Roxboro NC 27573 Person (336)599-7055 "Person County Group Homes, Inc." 060623 MHL-073-049 Person County Local Government 01-Aug-06 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs C&ADOL&A NONE DAY Person Industries 601 North Madison Blvd. Roxboro NC 27573 601 North Madison Blvd. Roxboro NC 27573 Person (336)599-7571 060623 MHL-073-049 Person County Local Government 01-Aug-06 01-Jan-13 31-Dec-13 - - - - 0 27G.5500 Sheltered Workshops NONE NONE DAY Person Industries 601 North Madison Blvd. Roxboro NC 27573 601 North Madison Blvd. Roxboro NC 27573 Person (336)599-7571 060624 MHL-073-048 Person County Local Government 01-Aug-06 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs NONE NONE DAY Person County Recycling Center 601 N. Madison Blvd. Roxboro NC 27573 741 Martin Street Roxboro NC 27573 Person (336)597-4437 060624 MHL-073-048 Person County Local Government 01-Aug-06 01-Jan-13 31-Dec-13 - - - - 0 27G.5500 Sheltered Workshops NONE NONE DAY Person County Recycling Center 601 N. Madison Blvd. Roxboro NC 27573 741 Martin Street Roxboro NC 27573 Person (336)597-4437 080032 MHL-060-1065 "Person-Centered Partnerships, Inc." 06-Aug-08 01-Jan-13 31-Dec-13 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C&ADOL MD RESIDENTL Cureton Place 7631 Saddle Trail Lane Charlotte NC 28269 7631 Saddle Trail Lane Charlotte NC 28269 Mecklenburg (704)921-7588 NaKina Scott-Perkins 120457 MHL-060-1251 "Person-Centered Partnerships, Inc." 27-Sep-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Recovery Works PO Box 32301 Charlotte NC 28232 "5601 Executive Center Drive, Suite 201" Charlotte NC 28212 Mecklenburg (704)567-0790 "Person-Centered Partnerships, Inc." 932244 MHL-063-016 "Peterkin & Associates, Inc." 01-Feb-93 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Moore County Home For Autistic Adults 131 Hay Street Suite 201 Fayetteville NC 28301 1112 Devonshire Trail Aberdeen NC 28315 Moore (910)944-1047 "Peterkin & Associates, Inc." 944879 MHL-026-017 "Peterkin & Associates, Inc." 20-Jul-88 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF My Place "131 Hay Street., Ste 201" Fayetteville NC 28301 1050 Hogan Street Fayetteville NC 28301 Cumberland (910)488-8598 922748 MHL-026-097 "Peterkin and Associates, Inc." 01-Jun-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Thomas S. Decatur Home 131 Hay Street Suite 201 Fayetteville NC 28301 7559 Decatur Drive Fayetteville NC 28303-1989 Cumberland (910)864-4434 922749 MHL-026-071 "Peterkin and Associates, Inc." 01-Feb-91 01-Jan-13 31-Dec-13 Type A 02-Apr-08 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Thomas S. Kinlaw 131 Hay Street Suite 201 Fayetteville NC 28301 235 Kinlaw Street Fayetteville NC 28301 Cumberland (910)482-9995 944892 MHL-026-049 "Peterkin and Associates, Inc." 01-May-90 01-Jan-13 31-Dec-13 Type A 11-Apr-08 - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF Extra Special Care "131 Hay Street., Ste. 201" Fayetteville NC 28301 6214 Kilmory Drive Fayetteville NC 28304 Cumberland (910)864-0644 955486 MHL-063-017 "Peterkin and Associates, Inc." 01-Mar-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF Crest Road Group Home 131 Hay Street Suite 201 Fayetteville NC 28301 114 Greenhouse Lane Southern Pines NC 28387 Moore (910)496-0661 "Peterkin & Associates, Inc." 990519 MHL-041-537 Phil White and Alan Palmer 24-May-99 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Exodus House "305 South Westgate Drive, Suite D" Greensboro NC 27407 3951 Eastland Avenue Greensboro NC 27401 Guilford (336)691-0107 Chris Charis 041572 MHL-092-644 "Phillip House Therapeutic Services, Inc." 20-Apr-06 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Philip House 5801 Cherryrain Court Raleigh NC 27610 5401 Orchard Pond Drive Raleigh NC 27616 Wake (919)862-1929 070192 MHL-036-214 Phoenix Counseling Center 24-Oct-03 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Phoenix Counseling Center "631 Brawley School Rd, Ste 407" Mooresville NC 28117 2505 Court Drive Gastonia NC 28054 Gaston (704)854-4196 Denise Oliver 070192 MHL-036-214 Phoenix Counseling Center 24-Oct-03 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Phoenix Counseling Center "631 Brawley School Rd, Ste 407" Mooresville NC 28117 2505 Court Drive Gastonia NC 28054 Gaston (704)854-4196 Denise Oliver 070192 MHL-036-214 Phoenix Counseling Center 24-Oct-03 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Phoenix Counseling Center "631 Brawley School Rd, Ste 407" Mooresville NC 28117 2505 Court Drive Gastonia NC 28054 Gaston (704)854-4196 Denise Oliver 070192 MHL-036-214 Phoenix Counseling Center 24-Oct-03 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization C&ADOL&A MI DAY Phoenix Counseling Center "631 Brawley School Rd, Ste 407" Mooresville NC 28117 2505 Court Drive Gastonia NC 28054 Gaston (704)854-4196 Denise Oliver 070192 MHL-036-214 Phoenix Counseling Center 24-Oct-03 01-Jan-13 31-Dec-13 - - - - 5 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL Phoenix Counseling Center "631 Brawley School Rd, Ste 407" Mooresville NC 28117 2505 Court Drive Gastonia NC 28054 Gaston (704)854-4196 Denise Oliver 070192 MHL-036-214 Phoenix Counseling Center 24-Oct-03 01-Jan-13 31-Dec-13 - - - - 0 27G.3300 Outpatient Detoxification A SAS DAY Phoenix Counseling Center "631 Brawley School Rd, Ste 407" Mooresville NC 28117 2505 Court Drive Gastonia NC 28054 Gaston (704)854-4196 Denise Oliver 070192 MHL-036-214 Phoenix Counseling Center 24-Oct-03 01-Jan-13 31-Dec-13 - - - - 6 27G.3400 Residential Treatment/Rehabilitation A SAS RESIDENTL Phoenix Counseling Center "631 Brawley School Rd, Ste 407" Mooresville NC 28117 2505 Court Drive Gastonia NC 28054 Gaston (704)854-4196 Denise Oliver 070192 MHL-036-214 Phoenix Counseling Center 24-Oct-03 01-Jan-13 31-Dec-13 - - - - 5 27G.5000 Facility Crisis Svcs. for all Disability Groups A MD RESIDENTL Phoenix Counseling Center "631 Brawley School Rd, Ste 407" Mooresville NC 28117 2505 Court Drive Gastonia NC 28054 Gaston (704)854-4196 Denise Oliver 080865 MHL-023-147 Phoenix Counseling Center 03-Nov-08 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Phoenix Counseling Center 631 Brawley School Rd Ste407 PMB207 Mooresville NC 28117 917 First Street Shelby NC 28150 Cleveland (704)476-4105 080865 MHL-023-147 Phoenix Counseling Center 03-Nov-08 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Phoenix Counseling Center 631 Brawley School Rd Ste407 PMB207 Mooresville NC 28117 917 First Street Shelby NC 28150 Cleveland (704)476-4105 080865 MHL-023-147 Phoenix Counseling Center 03-Nov-08 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization A MI DAY Phoenix Counseling Center 631 Brawley School Rd Ste407 PMB207 Mooresville NC 28117 917 First Street Shelby NC 28150 Cleveland (704)476-4105 101098 MHL-055-098 Phoenix Counseling Center 29-Mar-06 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Phoenix Counseling Center 631-407 PMB 207 Brawley School Road Mooresville NC 28117 510 South Aspen Street Lincolnton NC 28092 Lincoln (704)735-7325 101098 MHL-055-098 Phoenix Counseling Center 29-Mar-06 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Phoenix Counseling Center 631-407 PMB 207 Brawley School Road Mooresville NC 28117 510 South Aspen Street Lincolnton NC 28092 Lincoln (704)735-7325 100472 MHL-023-171 Phoenix Counseling Center 24-Jun-11 01-Jan-13 31-Dec-13 - - - - 8 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL Cleveland Crisis and Recovery Center 631-407(PMB 207) Brawley Sch. Road Mooresville NC 28117 609 North Washington Street Shelby NC 28150 Cleveland (704)751-3693 Phoenix Counseling Center 100472 MHL-023-171 Phoenix Counseling Center 24-Jun-11 01-Jan-13 31-Dec-13 - - - - 0 27G.3300 Outpatient Detoxification A SAS DAY Cleveland Crisis and Recovery Center 631-407(PMB 207) Brawley Sch. Road Mooresville NC 28117 609 North Washington Street Shelby NC 28150 Cleveland (704)751-3693 Phoenix Counseling Center 100472 MHL-023-171 Phoenix Counseling Center 24-Jun-11 01-Jan-13 31-Dec-13 - - - - 8 27G.5000 Facility Crisis Svcs. for all Disability Groups A MI RESIDENTL Cleveland Crisis and Recovery Center 631-407(PMB 207) Brawley Sch. Road Mooresville NC 28117 609 North Washington Street Shelby NC 28150 Cleveland (704)751-3693 Phoenix Counseling Center 010896 MHL-020-029 "Phoenix Supported Living, Inc." 23-Oct-01 01-Jan-13 31-Dec-13 Type A 22-Dec-11 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The River House "2996 NC 69 S, Suite 6" Hayesville NC 28904 284 Smokeford Road Murphy NC 28906 Cherokee (828)837-3368 "Phoenix Supported Living, Inc." 945007 MHL-020-031 "Phoenix Supported Living, Inc." 15-Oct-02 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Risin' "2996 NC 69 S, Suite 6" Hayesville NC 28904 201 Hampton Church Road Murphy NC 28906 Cherokee (828)837-5991 "Phoenix Supported Living, Inc." 030550 MHL-020-035 "Phoenix Supported Living, Inc." 31-Jul-03 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Crossing "2996 NC 69 S, Suite 6" Hayesville NC 28904 48 Brittain Trace Andrews NC 28901 Cherokee (828)321-0496 "Phoenix Supported Living, Inc." 041248 MHL-020-038 "Phoenix Supported Living, Inc." 10-Jun-05 01-Jan-13 31-Dec-13 Type B 21-Jun-11 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL The Twin Oaks "2996 NC 69 S, Suite 6" Hayesville NC 28904 140 Adams Drive Andrews NC 28901 Cherokee (828)321-5751 "Phoenix Supported Living, Inc." 051240 MHL-020-040 "Phoenix Supported Living, Inc." 01-Mar-06 01-Jan-13 31-Dec-13 Type B 10-Dec-10 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL The Passage 2996 NC 69 S Suite 6 Hayesville NC 28904 19645 US 19 Andrews NC 28901 Cherokee (828)321-9620 130058 MHL-022-013 "Phoenix Supported Living, Inc." 08-Jun-07 18-Mar-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A NONE DAY Yield For Fun 2996 NC 69 S #6 Hayesville NC 28904 2996 NC 69 Suite 1 Hayesville NC 28904 Clay (828)389-1797 "Phoenix Supported Living, Inc." 070497 MHL-065-209 "Physcian Alliance for Mental Health, LLC" 25-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Physcian Alliance for Mental Health 4130 Oleander Drive Suite 100 Wilmington NC 28403 3121 Wrightsville Avenue Wilmington NC 28403 New Hanover (910)274-0962 Physcians Alliance for Mental Health 070497 MHL-065-209 "Physcian Alliance for Mental Health, LLC" 25-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Physcian Alliance for Mental Health 4130 Oleander Drive Suite 100 Wilmington NC 28403 3121 Wrightsville Avenue Wilmington NC 28403 New Hanover (910)274-0962 Physcians Alliance for Mental Health 070550 MHL-065-234 "Physician Alliance for Mental Health, LLC" 01-Aug-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Physician Alliance for Mental Health, LLC/Ocean House" "4130 Oleander Dr., Ste. 100" Wilmington NC 28403 14 South 16th Street Wilmington NC 28401 New Hanover (910)251-3421 041395 MHL-023-152 "Piedmont Behavioral Resources, Inc." 13-Apr-09 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Southpointe Children's Home "201 W. Marion Street, Suite 207" Shelby NC 28150 507 Green Valley Drive Shelby NC 28152 Cleveland (704)406-9653 James L. King 080895 MHL-023-153 "Piedmont Behavioral Resources, Inc." 14-May-09 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Special Angels Care Facility "201 West Marion Street, Suite 207" Shelby NC 28150 912 Lavender Road Grover NC 28073 Cleveland (704)937-9447 "Piedmont Behavioral Resouces, Inc" 060940 MHL-036-276 "Piedmont Behavioral Resources, Inc." 01-Mar-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL Open Door Group Home #1 "201 West Marion Street , Ste. 207" Shelby NC 28150 140 Shady Grove Road Kings Mountain NC 28086 Gaston (704)750-4355 "Piedmont Behavioral Resources, Inc." 020878 MHL-023-167 "Piedmont Behavioral Resources, Inc." 01-Apr-10 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Stoney Point Group Home 201 West Marion Street Suite 207 Shelby NC 28150 1734 Stoney Point Road Shelby NC 28150 Cleveland (704)802-4080 "Piedmont Behavioral Resources, Inc." 100940 MHL-023-148 "Piedmont Behavioral Resources, Inc." 25-Nov-08 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Piedmont Recovery Center 201 W. Marion St. Shelby NC 28150 "201 West Marion Street, Suite 207" Shelby NC 28150 Cleveland (704)487-6226 "Piedmont Behavioral Resources, Inc." 921517 MHL-013-006 "Piedmont Residential Development Center, Inc." 29-Feb-80 01-Jan-13 31-Dec-13 - - - - 4 27G.5100 Community Respite Services C&A MR/DD RESIDENTL Bost Children's Center P.O. Box 909 Concord NC 28026-0909 5300 Highway 200 Concord NC 28025 Cabarrus (704)786-1405 921517 MHL-013-006 "Piedmont Residential Development Center, Inc." 29-Feb-80 01-Jan-13 31-Dec-13 - - - - 10 27G.2100 Specialized Community Residential Center C&A MR/DD RESIDENTL ICF Bost Children's Center P.O. Box 909 Concord NC 28026-0909 5300 Highway 200 Concord NC 28025 Cabarrus (704)786-1405 922880 MHL-013-019 "Piedmont Residential Development Center, Inc." 18-Jun-90 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Wilhelm Place Home P.O. Box 909 Concord NC 28026-0909 630 Wilhelm Place Concord NC 28026 Cabarrus (704)782-1706 951655 MHL-013-018 "Piedmont Residential Development Center, Inc." 30-Jan-90 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Christy Woods Group Home P.O. Box 909 Concord NC 28026-0909 10100 Mt. Olive Road Mt. Pleasant NC 28124 Cabarrus (704)436-6013 942386 MHL-013-005 "Piedmont Residential Developmental Center, Inc." 01-Mar-84 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A NONAMB2 RESIDENTL ICF Michigan Street Home P.O. Box 909 Concord NC 28026 1006 Michigan Street Kannapolis NC 28081 Cabarrus (704)788-2304 011055 MHL-085-028 "Pinnacle Homes, DDA, LLC" 01-May-02 01-Jan-13 31-Dec-13 Type B 14-Jan-08 - - 8 27G.5600A Supervised Living MI Adult A MI RESIDENTL Pinnacle Homes II PO Box 70 Pinnacle NC 27043 1173 Perch Road Pinnacle NC 27043 Stokes (336)368-2636 "Pinnacle Homes, LLC" 981129 MHL-085-026 "Pinnacle Homes, DDA, LLC" 20-Nov-01 01-Jan-13 31-Dec-13 Type B Imposed 26-Mar-10 - - 8 27G.5600A Supervised Living MI Adult A MI RESIDENTL Pinnacle Homes #1 PO Box 70 Pinnacle NC 27043 1169 Perch Road Pinnacle NC 27043 Stokes (336)368-2778 Pinnacle Homes 070714 MHL-074-097 "Pitt Co GH Board for MR, Autistic Persons, Inc." 23-Feb-00 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Pitt County Group Home #3 PO Box 9 Grifton NC 28530 6962 Church Street Grifton NC 28530 Pitt (252)524-3723 Mary Grace Bright 922406 MHL-074-015 "Pitt Co GH Board for MR, Autistic Persons, Inc." 01-Jul-89 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Pitt County Group Home #2 P.O. Box 9 Grifton NC 28530 4263 N. Edge Road Ayden NC 28513 Pitt (252)524-4950 922403 MHL-074-003 "Pitt Co. GH Board for MR, Autistic Persons, Inc." 01-Mar-85 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Pitt County Group Home #1 PO Box 9 Grifton NC 28530 6570 Fairway Drive Grifton NC 28530 Pitt (252)524-3993 Pitt County Group Homes 944723 MHL-074-037 "Pitt Co. GH Board for MR, Autistic Persons, Inc." 26-Aug-93 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Pitt County Group Home #5 PO Box 9 Grifton NC 28530 2240 Edgewater Drive Winterville NC 28590 Pitt (252)321-6961 Pitt Co. Group Homes 922405 MHL-074-021 "Pitt Co. GH Board for Mentally Retarded, Autistic Perso" 01-Sep-96 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Pitt County Group Home #4 PO Box 9 Grifton NC 28530 1203 Red Banks Road Greenville NC 27834 Pitt (252)355-6398 Pitt Co. GH Board for Mentally Ret 090201 MHL-071-025 "Plumb Line Services, Inc." 04-Aug-09 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Alexander House PO Box 909 Burgaw NC 28425 2195 New Road Burgaw NC 28425 Pender (910)300-6152 "Plumb Line Services, Inc." 060841 MHL-075-017 "Polk County Sheltered Worksohps, Inc." 21-Aug-06 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs NONE NONE DAY Polk Vocational Services 451 Industrial Park Drive Columbus NC 28722 451 Industrial Park Drive Columbus NC 28722 Polk (828)894-3041 922122 MHL-054-144 Port Human Services 07-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Port Human Services-Kinston Clinic 4300-110 Sapphire Ct. Greenville NC 27834 2901 North Herritage Street Kinston NC 28501 Lenoir (252)233-2383 Port Human Services 100010 MHL-025-041 Port Human Services 01-Feb-92 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY PORT Human Services Anchor House 4300-110 Sapphire Court Greenville NC 27834 "1309 Tatum Road, Suite B" New Bern NC 28560 Craven (252)633-6431 PORT Human Services 970541 MHL-025-216 Port Human Services 10-Aug-09 01-Jan-13 31-Dec-13 - - - - 6 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Port Human Services-Grantham Site 4300-110 Sapphire Ct. Greenville NC 27834 417 East Grantham Road New Bern NC 28560 Craven (252)633-0992 Port Human Services 990828 MHL-046-015 Port Human Services 19-Aug-99 01-Jan-13 31-Dec-13 Type B 12-Dec-10 - - 6 27G.5000 Facility Crisis Svcs. for all Disability Groups A MI RESIDENTL Port Human Services - Roanoke/Chowan 4300-110 Sapphire Court Greenville NC 27834 144-C Community College Road Ahoskie NC 27910 Hertford (252)332-5044 Port Human Services 050544 MHL-074-157 Port Human Services 13-Jul-05 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment NONE SAS DAY PORT Human Services-Adult Outpatient 4300-110 Sapphire Ct. Greenville NC 27834 2245 Stantonsburg Rd Greenville NC 27834 Pitt (252)752-0483 PORT Human Services 945201 MHL-063-080 Port Human Services 02-Jun-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY PORT Human Services Aberdeen Day Treatment 4300-110 Sapphire Ct. Greenville NC 27834 206 North Pine Street Aberdeen NC 28315 Moore (910)944-2189 Port Human Services 921498 MHL-063-081 Port Human Services 17-Jun-09 01-Jan-13 31-Dec-13 - - - - 9 27G.5600D Supervised Living SA Minor A SAS RESIDENTL PORT Human Services-Aberdeen 4300-110 Sapphire Ct. Greenville NC 27834 204 North Pine Street Bldg. B Aberdeen NC 28315 Moore (910)944-2189 Port Human Services 100194 MHL-025-208 Port Human Services 31-Oct-06 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY PORT Human Services - New Bern MMP 4300-110 Sapphire Court Greenville NC 27834 1309 Tatum Road New Bern NC 28560 Craven (252)639-7414 P.O.R.T. Human Services 110229 MHL-070-053 Port Human Services 04-May-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Port Human Services - Harbor House 4300-110 Sapphire Court Greenville NC 27834 1409 Parkview Drive Elizabeth City NC 27906 Pasquotank (252)331-6546 Port Human Services 110242 MHL-071-033 Port Human Services 31-Aug-11 01-Jan-13 31-Dec-13 Type B 03-Feb-12 - - 9 27G.5600D Supervised Living SA Minor C&ADOL SAS RESIDENTL Port Human Services - Burgaw 4300-110 Sapphire Court Greenville NC 27834 316 Progress Drive Extension Burgaw NC 28425 Pender (910)259-5212 Port Human Services 090936 MHL-041-959 "Positive Connection Care, Inc." 15-Apr-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Positive Connection Care DD Home P.O. Box 16851 Greensboro NC 27416 4406 Eagle Rock Road Greensboro NC 27410 Guilford (336)393-0022 "Positive Connection Care, Inc." 120138 MHL-033-111 "Positive Generation In Christ, Incorporated" 25-May-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Positive Generation In Christ PO Box 1634 Tarboro NC 27886-1634 "2901 North Main St., Suites 101 & 202" Tarboro NC 27886 Edgecombe (252)641-0001 "Positive Generation In Christ, Incorporated" 120138 MHL-033-111 "Positive Generation In Christ, Incorporated" 25-May-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Positive Generation In Christ PO Box 1634 Tarboro NC 27886-1634 "2901 North Main St., Suites 101 & 202" Tarboro NC 27886 Edgecombe (252)641-0001 "Positive Generation In Christ, Incorporated" 100272 MHL-033-071 "Positive Influences, Inc." 15-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Positive Influences, Inc." PO Box 1332 Greenville NC 27835 "2109 St. Andrew Street, Suite 14A" Tarboro NC 27886 Edgecombe (252)641-9990 "Positive Influences, Inc." 100272 MHL-033-071 "Positive Influences, Inc." 15-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Positive Influences, Inc." PO Box 1332 Greenville NC 27835 "2109 St. Andrew Street, Suite 14A" Tarboro NC 27886 Edgecombe (252)641-9990 "Positive Influences, Inc." 090968 MHL-033-072 "Positive Influences, Inc." 15-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Positive Influences, Inc." "2109 St. Andrew Street, Suite 14" Tarboro NC 27886 2200 North Main Street Tarboro NC 27886 Edgecombe (252)641-9990 "Positive Influences, Inc." 090968 MHL-033-072 "Positive Influences, Inc." 15-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Positive Influences, Inc." "2109 St. Andrew Street, Suite 14" Tarboro NC 27886 2200 North Main Street Tarboro NC 27886 Edgecombe (252)641-9990 "Positive Influences, Inc." 090078 MHL-096-247 "Positive Influences, Inc." 07-Mar-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Positive Influences - Goldsboro "2109 St. Andrew Street, Ste 14" Tarboro NC 27886 223-1 West Walnut Street Goldsboro NC 27530 Wayne (919)288-2136 "Positive Influences, Inc." 100288 MHL-039-053 "Positive Influences, Inc." 07-Mar-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Positive Influences - NGMS "2109 St. Andrews St., Ste. 14" Tarboro NC 27886 3144 Webb School Road Oxford NC 27565 Granville (919)693-1483 "Positive Influences, Inc." 120114 MHL-067-196 "Positive Influences, Inc." 21-Mar-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Positive Influences, Inc." "2109 St. Andrew Street, Suite 14" Tarboro NC 27886 "825 Gum Branch Road, Suite 121" Jacksonville NC 28540 Onslow (910)333-0551 020333 MHL-078-249 Positive Progress Services Corp. 04-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment A MI DAY Progressive Child and Adolescent Center PO Box 1678 Pembroke NC 28372 527 Woods Road Pembroke NC 28372 Robeson (910)521-7461 Positive Progress Services Corp 100688 MHL-078-267 Positive Progress Services Corp. 12-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Positive Progress Services Adult Center PO Box 1678 Pembroke NC 28372 "305 East Third Street, Suite 9" Pembroke NC 28372 Robeson (910)521-7461 Positive Progress Services Corp. 090714 MHL-078-268 Positive Progress Services Corp. 12-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Positive Progress Services Adult Center PO Box 1678 Pembroke NC 28372 110 East 2nd Avenue Red Springs NC 28377 Robeson (910)359-0054 Positive Progress Services Corp. 040506 MHL-092-640 "Potter House Sanctuary of Liberation, Inc." 23-Jan-06 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Potter House Sanctuary of Liberation, Inc." 7344 Berkshire Down Drive Raleigh NC 27616 2805 Auburn Knightdale Road Raleigh NC 27613 Wake (919)217-9119 001385 MHL-060-1101 "Praising Hands, LLC" 26-Mar-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sudbury Group Home 6201 Deliah Lane Charlotte NC 28215 4129 Sudbury Road Charlotte NC 28205 Mecklenburg (704)910-5323 Praising Hands 956935 MHL-060-1119 "Praising Hands, LLC" 30-Nov-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL The Williams Home 6201 Deliah Lane Charlotte NC 28215 7300 Rosehall Drive Charlotte NC 28227 Mecklenburg (704)532-8770 "Praisng Hands, LLC" 041243 MHL-060-1120 "Praising Hands, LLC" 30-Nov-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL The Lloyd Home 6201 Deliah Lane Charlotte NC 28215 6201 Deliah Lane Charlotte NC 28215 Mecklenburg (704)536-7096 "Prasing Hands, LLC" 090631 MHL-060-1229 "Praising Hands, LLC" 16-Oct-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Shep El Home 6201 Deliah Lane Charlotte NC 28215 14548 Henry Harrison Stillwell Place Huntersville NC 28078 Mecklenburg (704)345-7243 "Praising Hands, LLC" 000399 MHL-026-924 "Precious Haven, Inc." 19-Oct-11 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Precious Haven #2 P.O. Box 25821 Fayetteville NC 28314 6033 Concho Court Fayetteville NC 28303 Cumberland (910)308-6067 "Precious Haven, Inc." 021103 MHL-041-698 "Precious Pearls, Inc." 16-Oct-03 01-Jan-13 31-Dec-13 Type A 25-Jan-08 - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Precious Pearls Group Home PO Box 5203 Greensboro NC 27435 1000 Elwell Avenue Greensboro NC 27405 Guilford (336)273-2057 "Precious Pearls, Inc." 100021 MHL-054-136 "Precision Healthcare Services, Inc." 12-Sep-08 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Precision Health Care Services, Inc." "165 Center Street, 2nd Floor" Jacksonville NC 28546 2902 A North Herritage Street Kinston NC 28501 Lenoir (252)520-6740 "Precision Health Care Services, Inc." 100021 MHL-054-136 "Precision Healthcare Services, Inc." 12-Sep-08 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization A MI DAY "Precision Health Care Services, Inc." "165 Center Street, 2nd Floor" Jacksonville NC 28546 2902 A North Herritage Street Kinston NC 28501 Lenoir (252)520-6740 "Precision Health Care Services, Inc." 080193 MHL-074-225 "Precision Healthcare Services, Inc." 07-Sep-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Precision Healthcare Services, Inc." "165 Center Street, 2nd Floor" Jacksonville NC 28546 325 Cliffton Street Greenville NC 27858 Pitt (252)756-2014 Precision Health Care Services 080193 MHL-074-225 "Precision Healthcare Services, Inc." 07-Sep-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Precision Healthcare Services, Inc." "165 Center Street, 2nd Floor" Jacksonville NC 28546 325 Cliffton Street Greenville NC 27858 Pitt (252)756-2014 Precision Health Care Services 080193 MHL-074-225 "Precision Healthcare Services, Inc." 07-Sep-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Precision Healthcare Services, Inc." "165 Center Street, 2nd Floor" Jacksonville NC 28546 325 Cliffton Street Greenville NC 27858 Pitt (252)756-2014 Precision Health Care Services 120338 MHL-067-197 "Precision Healthcare Services, Inc." 01-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization C&ADOL&A MI DAY Precision Health Care Services 165 Center Street Jacksonville NC 28546 165 Center Street - 2nd Floor Jacksonville NC 28546 Onslow (910)238-2744 120338 MHL-067-197 "Precision Healthcare Services, Inc." 01-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Precision Health Care Services 165 Center Street Jacksonville NC 28546 165 Center Street - 2nd Floor Jacksonville NC 28546 Onslow (910)238-2744 120338 MHL-067-197 "Precision Healthcare Services, Inc." 01-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Precision Health Care Services 165 Center Street Jacksonville NC 28546 165 Center Street - 2nd Floor Jacksonville NC 28546 Onslow (910)238-2744 110234 MHL-047-143 "Preferred Care, Inc." 29-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Preferred Care, Inc." 318 Harris Avenue Raeford NC 28376 318 Harris Avenue Raeford NC 28376 Hoke (910)565-2377 110234 MHL-047-143 "Preferred Care, Inc." 29-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Preferred Care, Inc." 318 Harris Avenue Raeford NC 28376 318 Harris Avenue Raeford NC 28376 Hoke (910)565-2377 090767 MHL-024-082 "Premier Behavioral Services, Inc." 16-Nov-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL MI DAY Premier Behavioral Services Inc. "2003 Godwin Avenue, Suite B" Lumberton NC 28358 104 Industrial Park Road Tarbor City NC 28463 Columbus (910)653-3040 Premier Behavioral Services Inc. 100221 MHL-078-251 "Premier Behavioral Services, Inc." 26-Mar-10 01-Jan-13 31-Dec-13 Type B 09-Apr-12 - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Premier Behavioral Services, Inc." "2003 Godwin Avenue, Suite B" Lumberton NC 28358 "2003 Godwin Avenue, Suite B" Lumberton NC 28358 Robeson (910)671-1111 "Premier Behavioral Services, Inc." 100221 MHL-078-251 "Premier Behavioral Services, Inc." 26-Mar-10 01-Jan-13 31-Dec-13 Type B 09-Apr-12 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Premier Behavioral Services, Inc." "2003 Godwin Avenue, Suite B" Lumberton NC 28358 "2003 Godwin Avenue, Suite B" Lumberton NC 28358 Robeson (910)671-1111 "Premier Behavioral Services, Inc." 100221 MHL-078-251 "Premier Behavioral Services, Inc." 26-Mar-10 01-Jan-13 31-Dec-13 Type B 09-Apr-12 - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Premier Behavioral Services, Inc." "2003 Godwin Avenue, Suite B" Lumberton NC 28358 "2003 Godwin Avenue, Suite B" Lumberton NC 28358 Robeson (910)671-1111 "Premier Behavioral Services, Inc." 051504 MHL-047-103 "Premier Healthcare Services, Inc." 20-Jun-07 01-Jan-13 31-Dec-13 Type A 17-Aug-09 - - 12 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Grace House 1892 Turnpike Road Raeford NC 28376 1892 Turnpike Road Raeford NC 28376 Hoke (910)878-0121 040792 MHL-078-170 "Premium Home Care of North Carolina, Inc." 30-Dec-04 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Chaparral Youth Services 16 Stanley St Pembroke NC 28372 5973 McLeod Road Maxton NC 28364 Robeson (910)827-1169 Chaparral Youth Services/ Sheree S. 944783 MHL-098-007 "Pride In North Carolina, Inc." 19-Apr-90 01-Jan-13 31-Dec-13 Type A 09-Jul-10 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Community House-Wilson 755 John Hopkins Drive Greenville NC 27834 505 Hemphill Drive Stantonsburg NC 27883 Wilson (252)238-2562 "Pride in North Carolina, Inc." 945160 MHL-043-021 "Pride In North Carolina, Inc." 06-Oct-94 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL CMI Angier Group Home P.O. Box 1300 Angier NC 27501 89 North Willow Street Angier NC 27501 Harnett (919)639-8825 "Pride In North Carolina, Inc." 070788 MHL-070-043 "Pride In North Carolina, Inc." 31-Jul-96 01-Jan-13 31-Dec-13 Type B 16-Nov-10 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Church Street "905 Halstead Boulevard, Unit 20" Elizabeth City NC 27909 1216 West Church Street Elizabeth City NC 27909 Pasquotank (252)331-2200 "Pride in North Carolina, Inc." 970626 MHL-067-054 "Pride In North Carolina, Inc." 08-May-97 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity NONE NONE DAY Project Voice 2812 Commerce Road Jacksonville NC 28546 2812 Commerce Road Jacksonville NC 28546 Onslow (910)938-9833 Pride in NC Inc. 020786 MHL-070-029 "Pride In North Carolina, Inc." 04-Oct-02 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Baxter Street 905 Halstead Blvd Unit 20 Elizabeth City NC 27909 1108 Baxter Street Elizabeth City NC 27909 Pasquotank (252)338-3802 Pride in NC Inc. 100358 MHL-067-186 "Pride In North Carolina, Inc." 14-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Commerce Drive PSR 2812 Commerce Drive Unit 2 Jacksonville NC 28546 2812 Commerce Drive Unit 2 Jacksonville NC 28546 Onslow (910)346-4444 Patricia McClarin 120453 MHL-098-181 "Pride in North Carolina, Inc." 05-Nov-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Pride Within 2130-A Forest Hills Road Wilson NC 27893 2130-A Forest Hills Road Wilson NC 27893 Wilson (252)265-9200 "Pride in North Carolina, Inc." 061050 MHL-060-586 "Primary Care Solutions, Inc." 12-Jul-00 01-Jan-13 31-Dec-13 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Idlewild Home "5501 Exec. Center Drive, Ste. 108" Charlotte NC 28212 6807 Idlewild Brook Lane Charlotte NC 28212 Mecklenburg (704)569-5147 William Bullock 990614 MHL-060-537 "Primary Care Solutions, Inc." 02-Jul-99 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C MI RESIDENTL Harris Home 5700 Executive Center Drive Ste.101 Charlotte NC 28212 4616 East W.T. Harris Boulevard Charlotte NC 28215 Mecklenburg (704)566-0446 "Primary Care Solutions, Inc." 001494 MHL-060-1078 "Primary Care Solutions, Inc." 06-Oct-08 01-Jan-13 31-Dec-13 Type B 24-Feb-11 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL The Norland House 5700 Executive Center Dr Ste 101 Charlotte NC 28212 1019 Norland Road Charlotte NC 28205 Mecklenburg (704)910-2931 "Primary Care Solutions, Inc." 080449 MHL-060-1088 "Primary Care Solutions, Inc." 18-Nov-08 01-Jan-13 31-Dec-13 Type A 14-Mar-13 - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Fairstone Home 5700 Executive Center Drive Charlotte NC 28212 2744 Fairstone Avenue Charlotte NC 28269 Mecklenburg (704)910-4895 Primary Care Solutions 100697 MHL-060-1173 "Primary Care Solutions, Inc." 31-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Primary Care Solutions "5700 Executive Center Dr., Ste. 101" Charlotte NC 28212 "5700 Executive Center Dr., Ste. 101" Charlotte NC 28212 Mecklenburg (704)537-1022 "Primary Care Solutions, Inc." 090562 MHL-060-1259 "Primary Care Solutions, Inc." 01-Feb-13 01-Feb-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Primary Care Solutions-Adult SA Services "5700 Executive Center Dr., Ste 101" Charlotte NC 28212 "5501 Executive Center Drive, Suite 220" Charlotte NC 28212 Mecklenburg (704)537-2492 "Primary Care Solutions, Inc." 080695 MHL-078-217 "Primary Health Choice, Inc." 20-Nov-08 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Primary Health Choice, Inc." 121B South 5th Street St. Pauls NC 28384 121B South 5th Street St. Pauls NC 28384 Robeson (910)865-8280 Thad Davis 080708 MHL-078-218 "Primary Health Choice, Inc." 20-Nov-08 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Primary Health Choice, Inc." 219 West Broad Street St. Pauls NC 28384 22421 Andrew Jackson Hwy. Maxton NC 28364 Robeson (910)844-2008 Thad Davis 100263 MHL-078-252 "Primary Health Choice, Inc." 01-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Primary Health Choice, Inc." PO Box 159 St. Pauls NC 28384 107E Mount Moriah Church Road Lumberton NC 28360 Robeson (910)735-2873 "Primary Health Choice, Inc." 080786 MHL-009-038 "Primary Health Choice, Inc." 11-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C MI DAY "Primary Health Choice, Inc." P.O. Box 159 St. Pauls NC 28384 2950 West Broad Street Elizabethtown NC 28337 Bladen (910)862-3040 110501 MHL-083-055 "Primary Health Choice, Inc." 24-Jun-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Primary Health Choice, Inc." PO Box 159 St. Pauls NC 28384 1781-B South Main Street Laurinburg NC 28352 Scotland (910)277-0001 110501 MHL-083-055 "Primary Health Choice, Inc." 24-Jun-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Primary Health Choice, Inc." PO Box 159 St. Pauls NC 28384 1781-B South Main Street Laurinburg NC 28352 Scotland (910)277-0001 110501 MHL-083-055 "Primary Health Choice, Inc." 24-Jun-11 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Primary Health Choice, Inc." PO Box 159 St. Pauls NC 28384 1781-B South Main Street Laurinburg NC 28352 Scotland (910)277-0001 070507 MHL-043-087 "Primary Health Choice, Inc." 15-Jul-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C MI DAY "Primary Health Choice, Inc." P.O. Box 159 St. Pauls NC 28384 108 North Orange Avenue Dunn NC 28334 Harnett (910)230-3792 070507 MHL-043-087 "Primary Health Choice, Inc." 15-Jul-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C MI DAY "Primary Health Choice, Inc." P.O. Box 159 St. Pauls NC 28384 108 North Orange Avenue Dunn NC 28334 Harnett (910)230-3792 110499 MHL-078-285 "Primary Health Choice, Inc." 22-Jul-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Primary Health Choice, Inc." PO Box 159 St. Pauls NC 28384 227 E. 4th Street Red Springs NC 28377 Robeson (910)359-0021 110551 MHL-053-069 "Primary Health Choice, Inc." 01-Sep-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C MI DAY "Primary Health Choice, Inc." 219 W. Broad St. St. Pauls NC 28384 1514 South Horner Boulevard Sanford NC 27331 Lee (919)774-7044 100898 MHL-096-245 "Primary Health Choice, Inc." 01-Jan-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Primary Health Choice 219 W. Broad St. St. Pauls NC 28384 701 East Ash Street Goldsboro NC 27530 Wayne (919)705-5955 "Primary Health Choice, Inc." 120475 MHL-078-300 "Primary Health Choice, Inc." 26-Sep-12 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Primary Health Choice, Inc." PO Box 159 St. Pauls NC 28384 107A Mt. Moriah Church Road Lumberton NC 28360 Robeson (910)738-7794 120200 MHL-078-301 "Primary Health Choice, Inc." 04-Apr-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Primary Health Choice, Inc." PO Box 159 St. Pauls NC 28384 219 West Broad Street St. Pauls NC 28384 Robeson (910)865-3500 070900 MHL-024-099 "Primary Health Choice, Inc." 14-Nov-12 22-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Primary Health Choice, Inc." PO Box 159 St. Pauls NC 28384 110 Premiere Plaza Whiteville NC 28472 Columbus (910)642-9900 110119 MHL-078-253 "Prmiary Health Choice, Inc." 01-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Primary Health Choice, Inc." PO Box 159 St. Pauls NC 28384 107C Mount Moriah Church Road Lumberton NC 28360 Robeson (910)739-7000 030466 MHL-043-047 "Professional Family Care Services, Inc." 21-Jul-03 01-Jan-13 31-Dec-13 Type B 31-Aug-10 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Professional Family Care Home #4 PO Box 35150 Fayetteville NC 28303 122 Orchard Crest Circle Sanford NC 27330 Harnett (919)498-6154 Professional Family Care Svcs 040895 MHL-043-059 "Professional Family Care Services, Inc." 10-Nov-04 01-Jan-13 31-Dec-13 Type B 10-Oct-06 06-Nov-06 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Professional Family Care Home #5 PO Box 35150 Fayetteville NC 28303 19 Susie Circle Cameron NC 28326 Harnett (919)498-0163 "Professional Family Care Services," 100461 MHL-026-894 "Professional Family Care Services, Inc." 15-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Professional Family Care Services-Psychosocial Rehab 1012 Pamalee Drive Fayetteville NC 28303 "111 Laman Street, Suite 114" Fayetteville NC 28301 Cumberland (910)630-2273 "Professional Family Care Services, Inc." 020190 MHL-026-926 "Professional Family Care Services, Inc." 30-Dec-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Professional Family Care Home #2 P.O. Box 35150 Fayetteville NC 28306 1016 Patrick Drive Fayetteville NC 28314 Cumberland (910)487-9868 "Professional Family Care Services, Inc." 922449 MHL-043-002 "Program Resource Institute, Inc." 01-Feb-89 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY PRI Counseling Services of Lillington PO Box 747 Lillington NC 27546 133 West Cornelius Harnett Blvd. Ste B Lillington NC 27546 Harnett (910)814-0394 "Program Resource Institute, Inc." 922449 MHL-043-002 "Program Resource Institute, Inc." 01-Feb-89 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY PRI Counseling Services of Lillington PO Box 747 Lillington NC 27546 133 West Cornelius Harnett Blvd. Ste B Lillington NC 27546 Harnett (910)814-0394 "Program Resource Institute, Inc." 990434 MHL-043-015 "Program Resource Institute, Inc." 30-Jan-99 01-Jan-13 31-Dec-13 - - - - 8 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Elmore-Blackley Fellowship Home PO Box 747 Lillington NC 27546 110 South Layton Avenue Dunn NC 28334 Harnett (910)892-6017 "Program Resource Institute, Inc." 090091 MHL-064-100 "Progressive Care Services, Inc." 08-May-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Progressive Care Services, Inc." 3216 Zebulon Road Rocky Mount NC 27804 3216 Zebulon Road Rocky Mount NC 27804 Nash (252)452-3302 101039 MHL-082-085 "Progressive Healthcare & Counseling Services, Inc." 04-Jan-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Progressive Healthcare & Counseling Services, Inc." 7013 Missionary Ridge Drive Raleigh NC 27610 820-B College Street Clinton NC 28328 Sampson (910)590-2332 Llewellyn Hicks 101039 MHL-082-085 "Progressive Healthcare & Counseling Services, Inc." 04-Jan-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Progressive Healthcare & Counseling Services, Inc." 7013 Missionary Ridge Drive Raleigh NC 27610 820-B College Street Clinton NC 28328 Sampson (910)590-2332 Llewellyn Hicks 101039 MHL-082-085 "Progressive Healthcare & Counseling Services, Inc." 04-Jan-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Progressive Healthcare & Counseling Services, Inc." 7013 Missionary Ridge Drive Raleigh NC 27610 820-B College Street Clinton NC 28328 Sampson (910)590-2332 Llewellyn Hicks 100988 MHL-033-098 "Project Momentum, Inc." 11-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Project Momentum, Inc." PO Box 4053 Rocky Mount NC 27803 107 SE Main Street Rocky Mount NC 27801 Edgecombe (252)977-0765 100988 MHL-033-098 "Project Momentum, Inc." 11-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Project Momentum, Inc." PO Box 4053 Rocky Mount NC 27803 107 SE Main Street Rocky Mount NC 27801 Edgecombe (252)977-0765 090634 MHL-092-750 "Prosperous Living Adolescent Center, Inc." 23-Oct-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Prosperous Living Adolescent Center, Inc." 3412 Lake Woodard Drive Raleigh NC 27604 3412 Lake Woodard Drive Raleigh NC 27604 Wake (919)231-0025 "Prosperous Living Adolescent Center, Inc." 922188 MHL-001-001 "Psychotherapeutic Services, Inc." 01-Jul-85 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY The Together House 1159 Huffman Mill Road Burlington NC 27215 405-B Rudd Street Burlington NC 27217 Alamance (336)513-4229 "Psychotherapeutic Services, Inc." 120611 MHL-001-226 "Psychotherapeutic Services, Inc." 30-Jan-13 30-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Psychotherapeutic Services, Inc." 1159 Huffman Mill Road Burlington NC 27215 1159 Huffman Mill Road Burlington NC 27215 Alamance (336)538-6990 "Psychotherapeutic Services, Inc." 090888 MHL-032-517 "Purposely Driven By Hope, Inc." 03-Feb-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL Purposely Driven By Hope 602 Atlantic Street Durham NC 27707 2720 Wedgedale Avenue Durham NC 27703 Durham (919)937-9757 Marian Strickland 980242 MHL-099-012 "QC, Inc." 02-Mar-98 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Muncus Road Home 4020 Katherine Court Winton-Salem NC 27106 4116 Muncus Road Jonesville NC 28642 Yadkin (336)978-5549 "QC, Inc." 090532 MHL-099-024 "QC, Inc." 15-Dec-09 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Saldano AFL 4020 Katherine Court Winston-Salem NC 27106 151 Cherry Street Jonesville NC 28642 Yadkin (336)978-1061 "Q.C., Inc." 921811 MHL-068-153 "QC, Inc." 28-Dec-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Ephesus "2474 Walnut St., Box 293" Cary NC 27518 1400 Ephesus Church Road Chapel Hill NC 27517 Orange (919)942-1964 "QC, Inc." 920339 MHL-059-054 "Quality Adult Care, Inc." 20-Sep-11 01-Jan-13 31-Dec-13 - - - - 9 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Quality Adult Care 180 East Court St. Marion NC 28752 180 East Court Street Marion NC 28752 McDowell (828)652-3931 "Quality Adult Care, Inc." 921972 MHL-052-002 Quality Care Behavioral Health Services 01-Jul-91 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C MI RESIDENTL Quality-Care Behavioral Health Services PO Box 942 Maysville NC 28555-0942 402 Maple Avenue Maysville NC 28555 Jones (910)743-2004 Quality Care Behavioral Health Svcs 001638 MHL-080-160 "Quality Care Developmental Services, Inc." 29-Mar-01 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Old Concord House PO Box 2748 Salisbury NC 28145 328 Old Concord Road Salisbury NC 28144 Rowan (704)645-8484 020957 MHL-080-136 "Quality Care Developmental Services, Inc." 08-Nov-02 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Harrel Street House PO Box 2748 Salisbury NC 28145 301 Harrel Street Salisbury NC 28144 Rowan (704)645-2397 Quality Care Developmental Svcs 090077 MHL-080-178 "Quality Care Developmental Services, Inc." 08-Jul-09 01-Jan-13 31-Dec-13 - - - - 3 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Mirror Lake Home PO Box 2748 Salisbury NC 28145 428 Mirror Lake Road Salisbury NC 28146 Rowan (704)639-8997 "Quality Care Developmental Services, Inc." 050539 MHL-034-198 "Quality Care Management, Inc." 07-Dec-05 01-Jan-13 31-Dec-13 Type A 06-Apr-10 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Linville Place PO Box 1017 Kernersville NC 27285-1017 637 Linville Road Kernersville NC 27284 Forsyth (336)784-6633 Quality Care Mgmt. Inc. 090875 MHL-032-512 "Quality Care Solutions, Inc." 17-Nov-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Quality Care Solutions 1306 Paddock Drive Suite 100 Raleigh NC 27609 1016 Broad Street Durham NC 27705 Durham (919)286-6766 "Quality Care Solutions, Inc." 100686 MHL-060-1199 Quality Home Care Services 12-Jan-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Safe Harbor Community Advocates 3552 Beatties Ford Road Charlotte NC 28216 "3552 Beatties Ford Road, Treatment Suite" Charlotte NC 28216 Mecklenburg (704)394-8968 Quality Home Care Services 100686 MHL-060-1199 Quality Home Care Services 12-Jan-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY Safe Harbor Community Advocates 3552 Beatties Ford Road Charlotte NC 28216 "3552 Beatties Ford Road, Treatment Suite" Charlotte NC 28216 Mecklenburg (704)394-8968 Quality Home Care Services 041447 MHL-036-300 Quality Home Care Services 31-Jan-13 31-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Safe Harbor Community Advocates II 3552 Beatties Ford Rd. Charlotte NC 28216 "436 East Long Avenue, Suite 1" Gastonia NC 28053 Gaston (704)864-7485 Quality Home Care Services 041447 MHL-036-300 Quality Home Care Services 31-Jan-13 31-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Safe Harbor Community Advocates II 3552 Beatties Ford Rd. Charlotte NC 28216 "436 East Long Avenue, Suite 1" Gastonia NC 28053 Gaston (704)864-7485 Quality Home Care Services 030828 MHL-041-706 "Quality Life Services, Inc." 22-Jan-04 01-Jan-13 31-Dec-13 Type A 15-Feb-11 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Graham Road Home "5601 Roanne Way, Suite 601" Greensboro NC 27409 4601 Graham Road Greensboro NC 27406 Guilford (336)856-8601 "Quality Life Services, Inc." 050259 MHL-041-758 "Quality Life Services, Inc." 26-Jul-05 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Brushwood Home 776 Barker Road Winston-Salem NC 27107 210 Brushwood Road Greensboro NC 27410 Guilford (336)855-1736 Quality Life Svcs. Inc. 990018 MHL-041-759 "Quality Life Services, Inc." 26-Jul-05 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Chatwick Drive Home 776 Barker Road Winston-Salem NC 27107 2008 Chatwick Drive Greensboro NC 27405 Guilford (336)230-1096 "Quality Life Services, Inc." 060639 MHL-041-760 "Quality Life Services, Inc." 26-Jul-05 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Candace Ridge Home "5601 Roanne Way, Suite 601" Greensboro NC 27409 1594 Candace Ridge Drive Greensboro NC 27406 Guilford (336)697-7703 060479 MHL-041-784 "Quality Life Services, Inc." 11-Jul-06 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity NONE NONE DAY Center for Quality Living Skills 5601 Roane Way Suite 614 Greensboro NC 27409 5601 Roane Way Suite 601 Greensboro NC 27409 Guilford (336)294-5310 080886 MHL-041-904 "Quality Life Services, Inc." 23-Apr-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Creekbrook Court Home "5601 Roanne Way, Suite 601" Greensboro NC 27409 6212 Creekbrook Court Brown Summit NC 27405 Guilford (336)375-3001 "Quality Life Services, Inc." 070439 MHL-041-905 "Quality Life Services, Inc." 24-Apr-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bingham Street Home "5601 Roanne Way, Ste 601" Greensboro NC 27409 300 Bingham Street Greensboro NC 27401 Guilford (336)574-1522 "Quality Life Services, Inc." 070724 MHL-060-1084 "Quest Provider Services, LLC" 25-Nov-08 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Rabon Residence 2329 East WT Harris Blvd Charlotte NC 28213 3847 Cameron Creek Drive Matthews NC 28105 Mecklenburg (704)246-8583 "Quest Provider Services, LLC" 110424 MHL-060-1221 "Quest Provider Services, LLC" 10-Aug-11 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MD RESIDENTL Quest #1332 2329 E.W.T. Harris Blvd Charlotte NC 28213 1332 Crandon Drive Charlotte NC 28214 Mecklenburg (704)890-6032 "Quest Provider Services, LLC" 120257 MHL-060-1243 "Quest Provider Services, LLC" 31-May-12 01-Jan-13 31-Dec-13 - - - - 0 27G.2200 "School Year, Before/After School and Summer DD Services" C&ADOL MR/DD DAY Quest for Kids 2329 E WT Harris Blvd Charlotte NC 28213 14101 Stumptown Road Huntersville NC 28078 Mecklenburg (704)875-1801 "Quest Provider Services, LLC" 110139 MHL-060-1157 "Quest Provider Services, LLC" 15-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY Quest Activity Center 2329 East W.T.Harris Blvd Charlotte NC 28213 2329 East W.T. Harris Boulevard Charlotte NC 28213 Mecklenburg (704)537-4730 "Quest Provider Services, LLC" 130041 MHL-049-138 "Quest Provider Services, LLC" 14-Feb-13 14-Feb-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY The Polar Junction 2329 East WT Harris Blvd. Charlotte NC 28213 "285 North Main Street, Suite C" Troutman NC 28166 Iredell (704)537-4730 "Quest Provider Services, LLC" 922447 MHL-079-001 "REMMSCO, Inc." 01-Dec-84 01-Jan-13 31-Dec-13 - - - - 9 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Remmsco Men's Halfway House PO Box 1121 Reidsville NC 27323-1121 108 North Main Street Reidsville NC 27320 Rockingham (336)342-9504 "Remmsco, Inc" 960958 MHL-036-262 "RHA Health Services, Inc." 17-Oct-08 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living ADOL&A MD RESIDENTL Spencer Home 1564 D Union Road Gastonia NC 28054 116 Springwood Lane Stanley NC 28164 Gaston (704)864-3450 Mary Corey 000030 MHL-032-236 "RHA Health Services, Inc." 24-Jan-00 01-Jan-13 31-Dec-13 Type A 17-Jan-13 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Mossdale Home 910 North Durham Avenue Creedmoor NC 27707 3101 Mossdale Street Durham NC 27707 Durham (919)403-3487 "RHA Health Services, Inc." 000203 MHL-041-616 "RHA Health Services, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Green Acres Group Home "1701 Westchester Drive, Ste. 940" High Point NC 27262 119 Green Acres Lane Greensboro NC 27410 Guilford (336)885-5090 "RHA Health Services, Inc." 000328 MHL-080-095 "RHA Health Services, Inc." 05-Apr-00 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Newsome Road 211 Roseman Lane Cleveland NC 27013 615 Newsome Road Salisbury NC 28144 Rowan (704)278-9681 000333 MHL-080-096 "RHA Health Services, Inc." 05-Apr-00 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Brentwood 211 Roseman Ln. Cleveland NC 27013 609 Newsome Road Salisbury NC 28144 Rowan (704)278-9681 000335 MHL-080-097 "RHA Health Services, Inc." 05-Apr-00 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hickory Lane 211 Roseman Lane Cleveland NC 27013 208 Hickory Lane Salisbury NC 28146 Rowan (704)278-9681 "RHA Health Services, Inc." 001418 MHL-092-447 "RHA Health Services, Inc." 19-Jan-01 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Melrose Home 910 North Durham Avenue Creedmoor NC 27522 3400 Melrose Ridge Court Apt. 311 Raleigh NC 27603 Wake (919)833-6494 "RHA Health Services, Inc." 001430 MHL-055-062 "RHA Health Services, Inc." 26-Sep-00 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Turner 3 1564 D Union Road Gastonia NC 28092 311 Turner Street Lincolnton NC 28092 Lincoln (704)864-3450 010028 MHL-055-067 "RHA Health Services, Inc." 05-Feb-01 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bessemer Heights 1564 D Union Rd. Gastonia NC 28054 202 Massapoag Rd. Lincolnton NC 28092 Lincoln (704)864-3450 050209 MHL-065-129 "RHA Health Services, Inc." 20-Mar-01 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY The WAVE(Wilmington Adult Vocational Enhancement) 3255 Burnt Mill Drive Suite 5 Wilmington NC 28403 3255 Burnt Mill Drive Suite 5 Wilmington NC 28403 New Hanover (910)251-6616 020673 MHL-051-022 "RHA Health Services, Inc." 01-May-88 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Benson Vocational Center 501-C South Wall Street Benson NC 27504 501-C South Wall Street Benson NC 27504 Johnston (919)894-5124 Benson Vocational Center 921154 MHL-041-608 "RHA Health Services, Inc." 11-Mar-92 01-Jan-13 31-Dec-13 Type B 06-Jun-07 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Benton Lane "1701 Westchester Drive, Ste. 940" High Point NC 27262 2205 Benton Lane Greensboro NC 27455 Guilford (336)885-5090 "RHA Health Services, Inc." 921156 MHL-041-607 "RHA Health Services, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type A 02-Dec-10 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Jane Street Group Home "1701 Westchester Drive, Ste. 940" High Point NC 27262 2001 Jane Street Greensboro NC 27407 Guilford (336)885-5090 "RHA Health Services, Inc." 921669 MHL-043-012 "RHA Health Services, Inc." 01-Feb-90 01-Jan-13 31-Dec-13 Type A 17-Sep-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "RHA Health Services, Inc./Jackson Street Group Home" 501-C South Wall Street Benson NC 27504 141 East Jackson Street Coats NC 27521 Harnett (919)897-3566 "RHA Health Services, Inc." 921783 MHL-039-008 "RHA Health Services, Inc." 01-May-90 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Creedmoor Vocational Center 910 North Durham Street Creedmoor NC 27522 910 North Durham Street Creedmoor NC 27522 Granville (919)528-2558 "RHA Health Services, Inc." 922168 MHL-018-021 "RHA Health Services, Inc." 31-May-90 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A NONE DAY Maiden Day Program 1754 GKN Way Newton NC 28658 1754 Getrag Parkway Newton NC 28658 Catawba (828)428-0061 922437 MHL-043-014 "RHA Health Services, Inc." 01-Sep-90 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Rawls Road Group Home 501-C South Wall Street Benson NC 27504 190 Rawls Road Angier NC 27501 Harnett (919)639-6082 "RHA Health Services, Inc." 922650 MHL-049-024 "RHA Health Services, Inc." 01-Nov-90 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Statesville Day Program 190 Commerce Boulevard Statesville NC 28625 190 Commerce Boulevard Statesville NC 28625 Iredell (704)872-3257 940641 MHL-041-617 "RHA Health Services, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lake Brandt Group Home "1701 Westchester Drive, Ste. 940" High Point NC 27262 6184 Lake Brandt Road Greensboro NC 27455 Guilford (336)885-5090 "RHA Health Services, Inc." 070418 MHL-041-825 "RHA Health Services, Inc." 24-Nov-93 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A NONE DAY High Point Vocational Center "1701 Westchester Drive, Suite 940" High Point NC 27262 "1701 Westchester Drive, Suite 940" High Point NC 27262 Guilford (336)885-5090 RHA Health Services 070418 MHL-041-825 "RHA Health Services, Inc." 24-Nov-93 01-Jan-13 31-Dec-13 - - - - 0 27G.5500 Sheltered Workshops A NONE DAY High Point Vocational Center "1701 Westchester Drive, Suite 940" High Point NC 27262 "1701 Westchester Drive, Suite 940" High Point NC 27262 Guilford (336)885-5090 RHA Health Services 944887 MHL-026-038 "RHA Health Services, Inc." 12-Mar-89 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A NONAMB2 DAY Wingate Road Day Program 2248 Wingate Road Fayetteville NC 28304 2248 Wingate Road Fayetteville NC 28304 Cumberland (910)424-2121 RHA Health Services 944950 MHL-065-038 "RHA Health Services, Inc." 01-Oct-93 01-Jan-13 31-Dec-13 - - - - 5 27G.5100 Community Respite Services NONE MD RESIDENTL Cape Fear Respite Home 3255 Burnt Mill Drive Wilmington NC 28403 202 Dorchester Place Wilmington NC 28412 New Hanover (910)313-1000 Patricia Chapman 951157 MHL-041-609 "RHA Health Services, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Larkwood Group Home "1701 Westchester Drive, Ste. 940" High Point NC 27262 801 Larkwood Drive Greensboro NC 27410 Guilford (336)885-5090 "RHA Health Services, Inc." 960010 MHL-018-037 "RHA Health Services, Inc." 04-Jan-96 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Park Lane 1564-D Union Road Gastonia NC 28054 505 South Main Street Newton NC 28658 Catawba (704)864-3450 "RHA Health Services, Inc." 970424 MHL-018-044 "RHA Health Services, Inc." 07-Apr-97 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Special Union Home 1564-D Union Road Gastonia NC 28054 704 East Union Street Maiden NC 28650 Catawba (704)864-3450 090422 MHL-043-027 "RHA Health Services, Inc." 15-Aug-97 01-Jan-13 31-Dec-13 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Elm Street 300 West J Street Erwin NC 28339 300 West J Street Erwin NC 28339 Harnett (910)230-9034 "RHA Health Services, Inc." 030341 MHL-036-108 "RHA Health Services, Inc." 01-Oct-97 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Meadow Ridge Group Home 1564-D Union Road Gastonia NC 28054 118 West Maine Street Bessemer City NC 28016 Gaston (704)864-3450 "RHA Health Svcs, Inc." 971221 MHL-049-059 "RHA Health Services, Inc." 03-Oct-97 01-Jan-13 31-Dec-13 Type A 16-Aug-06 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL James Farm Home 190 Commerce Boulevard Statesville NC 28625 148 James Farm Road Statesville NC 28625 Iredell (704)872-3257 061156 MHL-049-068 "RHA Health Services, Inc." 02-Apr-98 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Fox Avenue Home 190 Commerce Boulevard Statesville NC 28625 304 Gregory Road Statesville NC 28677 Iredell (704)872-3257 "RHA Health Services, Inc." 070488 MHL-036-128 "RHA Health Services, Inc." 01-Jun-98 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Georgetown Woods 1564 D Union Road Gastonia NC 28054 611 Harvie Street West Gastonia NC 28052 Gaston (704)864-3450 "RHA Health Services, Inc." 980631 MHL-055-047 "RHA Health Services, Inc." 15-Jun-98 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Crescent Court Home 1564-D Union Road Gastonia NC 28054 214 Crescent Court Lincolnton NC 28092 Lincoln (704)864-3450 980737 MHL-049-070 "RHA Health Services, Inc." 28-Jul-98 01-Jan-13 31-Dec-13 Type A 20-Mar-13 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Scott's Creek 190 Commerce Boulevard Statesville NC 28625 234 Scott's Creek Road Statesville NC 28625 Iredell (704)872-3257 980803 MHL-039-019 "RHA Health Services, Inc." 14-Aug-98 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Crossings 910 N. Durham Avenue Creedmoor NC 27522 308 Bridget Way Creedmoor NC 27522 Granville (919)528-2470 030628 MHL-080-079 "RHA Health Services, Inc." 25-Nov-98 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Oakmont 211 Roseman Lane Cleveland NC 27013 507 Barringer Street Salisbury NC 28145 Rowan (704)278-9681 "RHA Health Svcs, Inc." 981142 MHL-055-051 "RHA Health Services, Inc." 23-Nov-98 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Crescent Court II 1564 Union Rd. Suite D Gastonia NC 28054 162 Massapoag Road Lincolnton NC 28092 Lincoln (704)864-3450 990059 MHL-049-073 "RHA Health Services, Inc." 01-Dec-98 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Massey Deal Home 190 Commerce Boulevard Statesville NC 28625 333 Massey Deal Statesville NC 28625 Iredell (704)872-6585 050474 MHL-055-053 "RHA Health Services, Inc." 24-Mar-99 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Laurel Lane 1564-D Union Street Gastonia NC 28054 1250 Georgetown Road Lincolnton NC 28092 Lincoln (704)864-3450 RHA Health Services Inc. 990554 MHL-041-538 "RHA Health Services, Inc." 01-Jun-99 01-Jan-13 31-Dec-13 Type A 14-Jan-08 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Dobson Road Home "1701 Westchester Drive, Ste. 940" High Point NC 27262 5427 Dobson Road Greensboro NC 27419 Guilford (336)885-5090 "RHA Health Services, Inc." 990897 MHL-092-389 "RHA Health Services, Inc." 09-Aug-99 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Wake County Group Home #2 910 North Durham Avenue Creedmoor NC 27522 4808 Whitehall Avenue Raleigh NC 27604 Wake (919)431-0035 "RHA Health Services, Inc." 070408 MHL-041-552 "RHA Health Services, Inc." 09-Sep-99 01-Jan-13 31-Dec-13 Type B 04-Mar-11 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Frostbrook Court "1701 Westchester Drive, Ste. 940" High Point NC 27262 3865 1-A Smokey Quartz Court Greensboro NC 27409 Guilford (336)885-5090 "RHA Health Services, Inc." 990954 MHL-055-058 "RHA Health Services, Inc." 06-Oct-99 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Turner I 1564 D Union Road Gastonia NC 28054 317 Turner Street Lincolnton NC 28092 Lincoln (704)864-3450 990955 MHL-055-059 "RHA Health Services, Inc." 06-Oct-99 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Crestview 1564 D Union Road Gastonia NC 28054 166 Massapoag Road Lincolnton NC 28092 Lincoln (704)864-3450 991031 MHL-049-074 "RHA Health Services, Inc." 26-Oct-99 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Greenbrier Road 190 Commerce Road Statesville NC 28625 335 N. Greenbrier Road Statesville NC 28625 Iredell (704)872-3257 "RHA Health Services, Inc." 991109 MHL-041-561 "RHA Health Services, Inc." 18-Nov-99 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Three Meadows "1701 Westchester Drive, Ste. 940" High Point NC 27262 2103 Three Meadows Road Greensboro NC 27455 Guilford (336)885-5090 "RHA Health Services, Inc." 921662 MHL-080-019 "RHA Health Services, Inc." 01-May-90 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Cleveland Day Program 211 Roseman Lane Cleveland NC 27013 211 Roseman Lane Cleveland NC 27013 Rowan (704)278-9681 030433 MHL-055-081 "RHA Health Services, Inc." 01-Aug-03 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Turner 5 1564-D Union Road Gastonia NC 28054 353 Turner Street Lincolnton NC 28092 Lincoln (704)864-3450 "RHA Health Svcs, Inc." 030504 MHL-005-021 "RHA Health Services, Inc." 05-Aug-04 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hensley Home 176 Wildcat Road Deep Gap NC 28618 306 Locust Street West Jefferson NC 28694 Ashe (336)846-1202 RHA Health Services 041658 MHL-049-100 "RHA Health Services, Inc." 10-Jun-05 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Camelot 190 Commerce Blvd Statesville NC 28625 3329 Winchester Lane Statesville NC 28625 Iredell (704)872-3257 RHA Health Services 922898 MHL-025-215 "RHA Health Services, Inc." 13-Mar-09 01-Jan-13 31-Dec-13 - - - - 4 27G.5100 Community Respite Services A MD RESIDENTL Start Respite Home-Eastern Region 17 Church Street Asheville NC 28801 605 Pine Tree Drive New Bern NC 28560 Craven (252)633-4992 "RHA Health Services, Inc." 050475 MHL-055-093 "RHA Health Services, Inc." 22-Jun-05 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Patriot Lane 1564-D Union Road Gastonia NC 28054 1252 Georgetown Road Lincolnton NC 28092 Lincoln (704)864-3450 RHA Health Services 050709 MHL-011-303 "RHA Health Services, Inc." 04-Nov-08 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Davis House 1564 D Union Road Gastonia NC 28054 4 Deerview Lane Asheville NC 28804 Buncombe (828)254-6713 RHA Health Services 090094 MHL-049-116 "RHA Health Services, Inc." 01-Apr-09 01-Jan-13 31-Dec-13 - - - - 4 27G.5100 Community Respite Services C&ADOL MD DAY Chestnut Grove 190 Commerce Boulevard Statesville NC 28625 247 Chestnut Grove Road Statesville NC 28625 Iredell (704)872-3257 "RHA Health Services, Inc." 090666 MHL-090-168 "RHA Health Services, Inc." 12-Oct-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Union County SAIOP 984 Cloverleaf Plaza Kannapolis NC 28083 2313 Katie Leigh Lane Monroe NC 28110 Union (704)289-7201 "RHA Health Services, Inc." 070814 MHL-073-057 "RHA Health Services, Inc." 08-Mar-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL South Moore Drive 910 N. Durham Ave. Creedmoor NC 27522 109 South Moore Drive Roxboro NC 27573 Person (919)528-2558 "RHA Health Services, Inc." 922623 MHL-065-217 "RHA Health Services, Inc." 22-Jun-10 01-Jan-13 31-Dec-13 - - - - 8 27G.5000 Facility Crisis Svcs. for all Disability Groups C&ADOL&A MD RESIDENTL The Harbor 2023 1A South 17th Street Wilmington NC 28401 2023 1A South 17th Street Wilmington NC 28401 New Hanover (910)632-2191 "PSutton, RN" 922623 MHL-065-217 "RHA Health Services, Inc." 22-Jun-10 01-Jan-13 31-Dec-13 - - - - 8 27G.3100 Non-hospital Medical Detoxification C&ADOL&A SAS RESIDENTL The Harbor 2023 1A South 17th Street Wilmington NC 28401 2023 1A South 17th Street Wilmington NC 28401 New Hanover (910)632-2191 "PSutton, RN" 040181 MHL-080-185 "RHA Health Services, Inc." 28-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY The Carter House 984 Cloverleaf Plaza Kannapolis NC 28083 600 West Innes Street Salisbury NC 28144 Rowan (704)633-1835 RHA Behavioral Health Services 955470 MHL-090-170 "RHA Health Services, Inc." 28-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Union House 984 Cloverleaf Plaza Kannapolis NC 28083 316 I B Shive Drive Monroe NC 28110 Union (704)283-5128 RHA Behavioral Health Services 040196 MHL-029-119 "RHA Health Services, Inc." 28-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Passageway Psychosocial Rehabilitation Program 984 Cloverleaf Plaza Kannapolis NC 28082 220 East First Ave. Ext. Rms 100-123 Lexington NC 27292 Davidson (336)242-2406 RHA Behavioral Health Services 030607 MHL-084-077 "RHA Health Services, Inc." 28-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Piedmont House 984 Cloverleaf Plaza Kannapolis NC 28083 233 Montgomery Ave Suite 2-A Albemarle NC 28002 Stanly (704)983-4157 RHA Behavioral Health Services 922561 MHL-010-075 "RHA Health Services, Inc." 01-Nov-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Shallotte House "3255 Burnt Mill Road, Suite 5" Wilmington NC 28403 4763 Milliken Street Shallotte NC 28459 Brunswick (910)251-6616 "RHA Health Services, Inc." 922085 MHL-065-221 "RHA Health Services, Inc." 01-Nov-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Kerr House "3255 Burnt Mill Road, Suite 5" Wilmington NC 28403 1502 North Kerr Avenue Wilmington NC 28405 New Hanover (910)392-6787 "RHA Health Services, Inc." 110081 MHL-045-077 "RHA Health Services, Inc." 30-Jan-08 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Western Carolina Community Center 410 Mills Gap Road Fletcher NC 28732 410 Mills Gap Road Fletcher NC 28732 Henderson (828)698-0623 "RHA Health Services, Inc." 110081 MHL-045-077 "RHA Health Services, Inc." 30-Jan-08 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Western Carolina Community Center 410 Mills Gap Road Fletcher NC 28732 410 Mills Gap Road Fletcher NC 28732 Henderson (828)698-0623 "RHA Health Services, Inc." 070249 MHL-083-051 "RHA Health Services, Inc." 01-Jul-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Shining Star Clubhouse 17 Church Street Asheville NC 28801 113 John Street Laurinburg NC 28352 Scotland (910)291-9934 "RHA Health Services, Inc." 070078 MHL-083-052 "RHA Health Services, Inc." 01-Jul-11 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MD RESIDENTL Graham AFL 17 Church Street Asheville NC 28801 13100 Debra Drive Laurinburg NC 28352 Scotland (910)276-3931 "RHA Health Services, Inc." 921069 MHL-083-053 "RHA Health Services, Inc." 01-Jul-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Scotchfair #1 17 Church Street Asheville NC 28801 1236 Hammond Drive Laurinburg NC 28352 Scotland (910)276-5096 "RHA Health Services, Inc." 921068 MHL-083-054 "RHA Health Services, Inc." 01-Jul-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Scotchfair #2 17 Church Street Asheville NC 28801 13880 Francis Street Gibson NC 28343 Scotland (910)607-4201 "RHA Health Services, Inc." 110094 MHL-009-039 "RHA Health Services, Inc." 01-Jul-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Cypress House 17 Church Street Asheville NC 28801 88 East Green Street Clarkton NC 28433 Bladen (910)862-7048 "RHA Health Services, Inc." 970114 MHL-009-040 "RHA Health Services, Inc." 01-Jul-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bladen County #1 Millbranch 17 Church Street Asheville NC 28801 407 East Bladen Street Bladenboro NC 28320 Bladen (910)809-0044 "RHA Health Services, Inc." 970115 MHL-009-041 "RHA Health Services, Inc." 01-Jul-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bladen County #2 Riverwood 17 Church Street Asheville NC 28801 706 West Swanzy Street Elizabethtown NC 28387 Bladen (910)862-8291 "RHA Health Services, Inc." 944731 MHL-078-278 "RHA Health Services, Inc." 01-Jul-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Robeson #1 17 Church Street Asheville NC 28801 601 Carthage Road Lumberton NC 28358 Robeson (910)738-6062 "RHA Health Services, Inc." 922485 MHL-078-279 "RHA Health Services, Inc." 01-Jul-11 01-Jan-13 31-Dec-13 Type A 13-Dec-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Robeson #2 17 Church Street Asheville NC 28801 104 East Gertrude Street Fairmont NC 28340 Robeson (910)535-4102 "RHA Health Services, Inc." 921575 MHL-078-280 "RHA Health Services, Inc." 01-Jul-11 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MD RESIDENTL Cameron Home 17 Church Street Asheville NC 28801 1213 Patton Street Lumberton NC 28358 Robeson (910)738-5350 "RHA Health Services, Inc." 050672 MHL-014-078 "RHA Health Services, Inc." 01-Jul-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY RHA - Caldwell County 17 Church Street Asheville NC 28801 2415 Morganton Blvd. Lenoir NC 28645 Caldwell (828)394-5563 "RHA Health Services, Inc." 110455 MHL-011-050 "RHA Health Services, Inc." 01-Jul-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY RHA Health Services 90 Asheland Avenue Asheville NC 28801 "90 Asheland Avenue, 2nd Level" Asheville NC 28801 Buncombe (828)254-2700 "RHA Health Services, Inc." 110455 MHL-011-050 "RHA Health Services, Inc." 01-Jul-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY RHA Health Services 90 Asheland Avenue Asheville NC 28801 "90 Asheland Avenue, 2nd Level" Asheville NC 28801 Buncombe (828)254-2700 "RHA Health Services, Inc." 110403 MHL-059-052 "RHA Health Services, Inc." 29-Jul-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY RHA Health Services - McDowell County 17 Church Street Asheville NC 28801 "486 Spaulding Road, Suite B" Marion NC 28752 McDowell (828)652-2919 "RHA Health Services, Inc." 120190 MHL-010-076 "RHA Health Services, Inc." 01-Nov-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living ADOL&A MR/DD RESIDENTL Bowline Court AFL "3255 Burnt Mill Road, Suite 5" Wilmington NC 28403 8784 Lanvale Oaks Drive Leland NC 28451 Brunswick (910)363-4386 "RHA Health Services, Inc." 120507 MHL-034-302 "RHA Health Services, Inc." 09-Oct-00 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Friendly Trail "1701 West Chester Drive, Suite 940" High Point NC 27262 3215 Stockton Street Winston-Salem NC 27127 Forsyth (336)837-6936 "RHA Health Services, Inc." 130032 MHL-013-174 "RHA Health Services, Inc." 13-May-11 28-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Anarrosi Place "82 Union St South, Unit B" Concord NC 28025 "82 Union Street South, Unit B" Concord NC 28025 Cabarrus (704)938-1669 "RHA Health Services, Inc." 120593 MHL-013-161 "RHA Health Services, Inc." 28-Jan-11 29-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Brookwood 211 Roseman Lane Cleveland NC 27013 207 Summerpine Place Kannapolis NC 28081 Cabarrus (704)795-9423 "RHA Health Services, Inc." 010467 MHL-013-159 "RHA Health Services, Inc." 28-Jan-11 29-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Captains Watch 211 Roseman Lane Cleveland NC 27013 514 Todd Drive NE Concord NC 28027 Cabarrus (704)938-4250 "RHA Health Services, Inc." 120594 MHL-013-163 "RHA Health Services, Inc." 28-Jan-11 29-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MD RESIDENTL Liberty 211 Roseman Lane Cleveland NC 28013 1054 Piney Church Road Concord NC 28025 Cabarrus (704)721-6667 "RHA Health Services, Inc." 120526 MHL-080-196 "RHA Health Services, Inc." 28-Jan-11 08-Mar-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Barbara Ann 211 Roseman Lane Cleveland NC 27013 1914 Glenwood Street Kannapolis NC 28083 Rowan (704)938-8521 "RHA Health Services, Inc." 130099 MHL-013-165 "RHA Health Services, Inc." 28-Jan-11 26-Mar-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Oldenburg 211 Roseman Lane Cleveland NC 27013 3861 Amsbury Road Concord NC 28025 Cabarrus (704)792-1255 "RHA Health Services, Inc." 100815 MHL-085-037 "RHA Health Services, Inc." 15-Apr-13 15-Apr-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY RHA Day Treatment Center 17 Church Street Asheville NC 28801 817 Meadowbrook Drive King NC 27021 Stokes (336)983-0515 "RHA Health Services, Inc." 080640 MHL-034-305 "RHA Health Services, Inc." 15-Apr-13 15-Apr-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Friendship House 17 Church Street Asheville NC 28801 1010 West Northwest Boulevard Winston-Salem NC 27101 Forsyth (336)722-4000 "RHA Health Services, Inc." 100850 MHL-068-154 "RHA Health Services, Inc." 15-Apr-13 15-Apr-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY RHA Academy Day Treatment Center 17 Church Street Asheville NC 28801 "500 Millstone Drive, Suite 104 & 105" Hillsborough NC 27278 Orange (919)245-3062 "RHA Health Services, Inc." 041054 MHL-078-306 "RHA Health Services, Inc." 18-Apr-13 18-Apr-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Lumberton Vocational Center 17 Church Street Asheville NC 28801 1407 E. 5th Street Lumberton NC 28358 Robeson (910)739-1468 "RHA Health Services, Inc." 130186 MHL-024-101 "RHA Health Services, Inc." 01-May-13 01-May-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Whiteville-Psychosocial Rehabilitation Program 17 Church Street Asheville NC 28801 805 Wilson Street Whiteville NC 28472 Columbus (910)642-8624 "RHA Health Services, Inc." 921979 MHL-045-067 "RHA North Carolina MR, Inc." 01-Oct-06 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hillpark Group Home 410 Mills Gap Rd. Fletcher NC 28732 175 Elson Avenue Hendersonville NC 28739 Henderson (828)697-4170 "RHA/North Carolina MR, Inc" 921704 MHL-045-068 "RHA/ North Carolina MR, Inc" 01-Oct-06 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Country Cove Group Home 410 Mills Gap Rd. Fletcher NC 28732 28 Hillpark Drive Hendersonville NC 28739 Henderson (828)698-0623 "RHA/ North Carolina MR, Inc" 922139 MHL-043-005 "RHA/ North Carolina MR, Inc." 01-May-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Lillington Group Home 501-C South Wall Street Benson NC 27504 1110 NC 210 South Lillington NC 27546 Harnett (910)893-9121 "RHA/ North Carolina MR, Inc." 921875 MHL-088-017 "RHA/ North Carolina MR, Inc." 01-Oct-06 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Forest Bend Group Home 410 Mills Gap Rd. Fletcher NC 28732 1 South Oak Street Brevard NC 28712 Transylvania (828)877-4062 "RHA/ North Carolina MR, Inc." 922010 MHL-074-030 "RHA/Howell Care Centers, Inc." 01-Nov-92 01-Jan-13 31-Dec-13 - - - - 30 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF RHA/Howell Care Centers/Tar River 3738 Howell Daycare Rd LaGrange NC 28551 498 & 500 Sean Drive Greenville NC 27834 Pitt (252)758-1101 "RHA Howell Care Centers, Inc." 922011 MHL-041-108 "RHA/Howell Care Centers, Inc." 01-Aug-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF RHA/Howell Care Centers/Ridgely Oak 3738 Howell Day Care Road LaGrange NC 28551 1307 Westridge Road Greensboro NC 27410 Guilford (336)288-3482 "RHA Howell Care Centers, Inc" 922012 MHL-041-074 "RHA/Howell Care Centers, Inc." 01-May-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF RHA/Howell Care Centers/West Friendly 3738 Howell Day Care Road La Grange NC 28221 4011 West Friendly Avenue Greensboro NC 27410 Guilford (336)294-5345 "RHA Howell Care Centers, Inc" 922013 MHL-041-105 "RHA/Howell Care Centers, Inc." 01-May-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF RHA/Howell Care Centers/Westminister 3738 Howell Day Care Road LaGrange NC 28551 1111 Westridge Road Greensboro NC 27410 Guilford (336)852-3855 Claudia R. Ball 922014 MHL-041-076 "RHA/Howell Care Centers, Inc." 01-Sep-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF RHA/Howell Care Centers/Westridge 3738 Howell Day Care Road LaGrange NC 28551 1609 Westridge Road Greensboro NC 27410 Guilford (336)282-7477 "RHA Howell Care Centers, Inc" 922015 MHL-041-087 "RHA/Howell Care Centers, Inc." 01-Mar-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF RHA/Howell Care Centers/Rollingwood 3738 Howell Daycare Road La Grange NC 28551 4206 West Friendly Avenue Greensboro NC 27410 Guilford (336)294-4733 Claudia R. Ball 922016 MHL-041-055 "RHA/Howell Care Centers, Inc." 01-Feb-89 01-Jan-13 31-Dec-13 Type A 26-Oct-12 - - 15 27G.2100 Specialized Community Residential Center C&ADOL&A MR/DD RESIDENTL ICF RHA/Howell Care Centers/Gatewood 3738 Howell Day Care Road. LaGrange NC 28551 1508 Gatewood Avenue Greensboro NC 27405 Guilford (336)273-6105 "RHA Howell Care Centers, Inc" 922016 MHL-041-055 "RHA/Howell Care Centers, Inc." 01-Feb-89 01-Jan-13 31-Dec-13 Type A 26-Oct-12 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY RHA/Howell Care Centers/Gatewood 3738 Howell Day Care Road. LaGrange NC 28551 1508 Gatewood Avenue Greensboro NC 27405 Guilford (336)273-6105 "RHA Howell Care Centers, Inc" 922017 MHL-054-006 "RHA/Howell Care Centers, Inc." 01-Jun-85 01-Jan-13 31-Dec-13 - - - - 113 27G.2100 Specialized Community Residential Center C&A MR/DD RESIDENTL ICF RHA/Howell Care Centers/Bear Creek 5840 Greenwood Avenue La Grange NC 28551 5840 Greenwood Avenue La Grange NC 28551 Lenoir (252)566-9181 "RHA Howell Care Centers, Inc." 922018 MHL-096-009 "RHA/Howell Care Centers, Inc." 01-Apr-88 01-Jan-13 31-Dec-13 - - - - 37 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF RHA/Howell Care Centers/Walnut Creek 5709 US 70 East Goldsboro NC 27534 5709 US 70 East Goldsboro NC 27534 Wayne (919)778-3524 Linda Woodard 922019 MHL-013-007 "RHA/Howell Care Centers, Inc." 14-Feb-86 01-Jan-13 31-Dec-13 Type A 18-Feb-13 - - 120 27G.2100 Specialized Community Residential Center C&ADOL&A MR/DD RESIDENTL ICF RHA/Howell Care Centers/Clear Creek 3738 Howell Daycare Road. LaGrange NC 28551 11950 Howell Center Drive Charlotte NC 28227 Cabarrus (704)545-7200 Claudia R. Ball 922019 MHL-013-007 "RHA/Howell Care Centers, Inc." 14-Feb-86 01-Jan-13 31-Dec-13 Type A 18-Feb-13 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY RHA/Howell Care Centers/Clear Creek 3738 Howell Daycare Road. LaGrange NC 28551 11950 Howell Center Drive Charlotte NC 28227 Cabarrus (704)545-7200 Claudia R. Ball 922275 MHL-060-174 "RHA/Howell Care Centers, Inc." 01-Jul-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RHA/Howell Care Centers/Nevin #4 3823 Nevins Road Charlotte NC 28269 3823 Nevins Road Charlotte NC 28269 Mecklenburg (704)596-0365 "RHA Howell Care Centers, Inc" 924981 MHL-060-222 "RHA/Howell Care Centers, Inc." 23-Jun-94 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "RHA/Howell Care Center, Inc. - Monroe Rd." 3738 Howell Day Care Rd LaGrange NC 28551 7621 Monroe Road Charlotte NC 28202 Mecklenburg (704)535-7502 "RHA Howell Care Centers, Inc." 925192 MHL-060-228 "RHA/Howell Care Centers, Inc." 19-Sep-94 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF RHA/Howell Care Centers/Burtonwood Circle Home 3738 Howell Dawy Care Rd LaGrange NC 28551 1710 Burtonwood Circle Charlotte NC 28212 Mecklenburg (704)536-0364 "RHA Howell Care Centers, Inc" 925332 MHL-060-237 "RHA/Howell Care Centers, Inc." 23-Nov-94 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF RHA/Howell Care Centers/Lakeview 3738 Howell Day Care Rd LaGrange NC 28551 5927 Lakeview Drive Charlotte NC 28270 Mecklenburg (704)366-5108 "RHA Howell Care Centers, Inc" 942020 MHL-025-010 "RHA/Howell Care Centers, Inc." 02-Jul-91 01-Jan-13 31-Dec-13 - - - - 125 27G.2100 Specialized Community Residential Center C&A MR/DD RESIDENTL ICF RHA/Howell's Child Care Center/Riverbend 3738 Howell Day Care Road LaGrange NC 28551 140 Pirates Road New Bern NC 28562 Craven (252)638-6519 Claudia R. Ball 942020 MHL-025-010 "RHA/Howell Care Centers, Inc." 02-Jul-91 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs C&A MR/DD DAY RHA/Howell's Child Care Center/Riverbend 3738 Howell Day Care Road LaGrange NC 28551 140 Pirates Road New Bern NC 28562 Craven (252)638-6519 Claudia R. Ball 944936 MHL-041-119 "RHA/Howell Care Centers, Inc." 03-Aug-93 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF RHA/Howell Care Centers/Holden Group Home 3738 Howell DayCare Road LaGrange NC 28551 517 North Holden Road Greensboro NC 27410 Guilford (336)547-0780 "RHA Howell Care Centers, Inc" 952274 MHL-060-139 "RHA/Howell Care Centers, Inc." 01-Sep-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RHA/Howell Care Centers/Nevin #3 3827 Nevins Road Charlotte NC 28269 3829 Nevins Road Charlotte NC 28269 Mecklenburg (704)598-1594 "RHA Howell Care Centers, Inc" 954686 MHL-060-198 "RHA/Howell Care Centers, Inc." 13-May-93 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RHA/Howell Care Centers/Nevin #1 3827 Nevins Rd. Charlotte NC 28269 3827 Nevins Road Charlotte NC 28269 Mecklenburg (704)596-2224 "RHA Howell Care Centers, Inc" 954687 MHL-060-199 "RHA/Howell Care Centers, Inc." 13-May-93 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RHA/Howell Care Centers/Nevin #2 3827 Nevin Road Charlotte NC 28269 3825 Nevin Road Charlotte NC 28269 Mecklenburg (704)596-1585 "RHA Howell Care Centers, Inc" 956225 MHL-074-050 "RHA/Howell Care Centers, Inc." 15-Aug-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF RHA/Howell Care Centers/Forest Hills Group Home 3738 Howell Day Care Rd LaGrange NC 28551 1913 Forest Hills Drive Greenville NC 27834 Pitt (252)756-6467 "RHA Howell Care Centers, Inc" 956230 MHL-074-049 "RHA/Howell Care Centers, Inc." 15-Aug-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600B Supervised Living DD Minor C MR/DD RESIDENTL ICF RHA/Howell Care Centers/King George Group Home 3738 Howell Daycare Rd LaGrange NC 28551 323 King George Road Greenville NC 27834 Pitt (252)321-5813 "RHA Howell Care Centers, Inc" 971037 MHL-060-390 "RHA/Howell Care Centers, Inc." 08-Aug-97 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF RHA/Howell Care Centers./Shelburne Place 3738 Howell Day Care Road LaGrange NC 28551 2524 Shelburne Place Charlotte NC 28227 Mecklenburg (704)545-7075 "RHA Howell Care Centers, Inc." 070437 MHL-054-128 "RHA/Howell Care Centers, Inc." 07-May-07 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A AMB DAY "RHA / Howell Care Centers, Inc." 3738 Howell Day Care Road LaGrange NC 28551 3779 Robin's Nest Road LaGrange NC 28551 Lenoir (252)933-5754 090120 MHL-013-147 "RHA/Howell Care Centers, Inc." 16-Jun-09 01-Jan-13 31-Dec-13 - - - - 6 27G.5100 Community Respite Services A MD RESIDENTL Clear Creek Home 3738 Howell Day Care Road. LaGrange NC 28551 11955 Howell Center Drive Midland NC 28107 Cabarrus (704)545-0119 Claudia R. Ball 091034 MHL-054-141 "RHA/Howell Care Centers, Inc." 15-Dec-09 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Fox Run Group Home 5840 Greenwood Avenue LaGrange NC 28551 3845 Robin's Nest Road LaGrange NC 28551 Lenoir (252)566-9543 "RHA Howell Health Care Services, Inc." 091035 MHL-054-142 "RHA/Howell Care Centers, Inc." 15-Dec-09 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Robin's Nest Group Home 5840 Greenwood Avenue LaGrange NC 28551 3921 Robin's Nest Road LaGrange NC 28551 Lenoir (252)566-2069 "RHA/Howell Care Centers, Inc." 080818 MHL-074-240 "RHA/Howell Care Centers, Inc." 22-Aug-12 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Curry House 500 Sean Drive Greenville NC 27834-7839 1793 Briley Road Greenville NC 27834 Pitt (252)752-0516 "RHA Howell Care Centers, Inc." 080755 MHL-041-1061 RHA/North Carolina MR Inc. 23-Aug-12 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Guilford IV 1701 West Chester Drive. Suite 940 High Point NC 27262 404 Skeet Club Road High Point NC 27265 Guilford (336)885-0461 RHA/North Carolina MR Inc. 955392 MHL-045-064 "RHA/North Carolina MR, Inc" 01-Oct-06 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Rayside A 410 Mills Gap Rd. Fletcher NC 28732 617 Ray Street Hendersonville NC 28792 Henderson (828)697-4484 "RHA/North Carolina MR, Inc." 921463 MHL-047-006 "RHA/North Carolina MR, Inc." 01-Jan-88 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Ashley Heights Home 2248 Wingate Road Fayetteville NC 28304 2990 Reservation Road Aberdeen NC 28315-5414 Hoke (910)424-2121 RHA Health Svcs 921515 MHL-049-016 "RHA/North Carolina MR, Inc." 01-Jan-88 01-Jan-13 31-Dec-13 - - - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF Bonnie Lane Group Home 190 Commerce Boulevard Statesville NC 28265 121 Bonnie Lane Statesville NC 28625 Iredell (704)872-3257 921518 MHL-030-006 "RHA/North Carolina MR, Inc." 01-Oct-87 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL ICF Boxwood Acres 211 Roseman Avenue Cleveland NC 27013 3464 US Highway 601 South Mocksville NC 27028 Davie (704)278-9681 921534 MHL-055-008 "RHA/North Carolina MR, Inc." 01-Jul-88 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Brookwood Home 1754 GKN Way Newton NC 28658 1254 Brookhaven Drive Lincolnton NC 28092 Lincoln (704)735-3199 RHA Health Services 921586 MHL-051-011 "RHA/North Carolina MR, Inc." 01-May-86 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Canterbury Road Home 501-C South Wall Street Benson NC 27504 214 Canterbury Road Smithfield NC 27577 Johnston (919)934-5907 "RHA /North Carolina MR, Inc." 921633 MHL-032-043 "RHA/North Carolina MR, Inc." 01-Sep-89 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Chandler Road 910 North Durham Avenue Creedmoor NC 27522 342 Chandler Road Durham NC 27707 Durham (919)598-8340 "RHA/North Carolina MR, Inc." 921672 MHL-083-009 "RHA/North Carolina MR, Inc." 01-Feb-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF College Park 15235 Airport Road Maxton NC 28364 1900 Lake Drive Laurinburg NC 28352 Scotland (910)844-9664 921706 MHL-051-009 "RHA/North Carolina MR, Inc." 01-Apr-86 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Country Manor Group Home 501-C South Wall Street Benson NC 27504 1070 Packing Plant Road Smithfield NC 27577 Johnston (919)934-9424 "RHA Health Services, Inc." 921730 MHL-049-018 "RHA/North Carolina MR, Inc." 01-Apr-88 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Dal-Wan Heights Group Home 190 Commerce Blvd. Statesville NC 28625 748 Sharon Dr. Statesville NC 28625 Iredell (704)872-2583 921774 MHL-039-004 "RHA/North Carolina MR, Inc." 01-Nov-89 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Dove Road Home 910 North Durham Avenue Creedmoor NC 27522 102 Dove Road Creedmoor NC 27522 Granville (919)528-0717 "RHA/North Carolina MR, Inc." 921792 MHL-078-010 "RHA/North Carolina MR, Inc." 01-Apr-89 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Eastbrook 15235 Airport Road Maxton NC 28364 110 Eastbrook Drive Red Springs NC 28377 Robeson (910)843-3804 "RHA Health Services, Inc." 921813 MHL-043-013 "RHA/North Carolina MR, Inc." 01-Jun-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Erwin #2 Group Home 501-C South Wall Street Benson NC 27504 202 West B Street Erwin NC 28339 Harnett (910)897-2854 "RHA/North Carolina MR, Inc." 921814 MHL-043-006 "RHA/North Carolina MR, Inc." 01-Jun-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Erwin Avenue Home 501-C South Wall Street Benson NC 27504 100 Erwin Avenue Erwin NC 28339 Harnett (910)897-8093 Erwin Avenue Home 921835 MHL-049-014 "RHA/North Carolina MR, Inc." 01-Apr-87 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Fanjoy Home #1 190 Commerce Boulevard Statesville NC 28625 235 Fanjoy Road Statesville NC 28625 Iredell (704)872-3257 921836 MHL-049-020 "RHA/North Carolina MR, Inc." 01-Sep-87 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Fanjoy Home #2 190 Commerce Boulevard Statesville NC 28625 450 Twin Oaks Road Statesville NC 28625 Iredell (704)872-3257 921878 MHL-034-042 "RHA/North Carolina MR, Inc." 01-Feb-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL ICF Forsyth Group Home #1 "1701 Westchester Drive, Ste. 940" High Point NC 27262 216 Linville Springs Road Kernersville NC 27284 Forsyth (336)996-7457 "RHA North Carolina/MR, Inc." 921880 MHL-034-043 "RHA/North Carolina MR, Inc." 01-Feb-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Forsyth Group Home #2 "1701 Westchester Drive, Ste. 940" High Point NC 27262 8460 Belews Creek Road Belews Creek NC 27009 Forsyth (336)595-2128 "RHA/North Carolina, MR, Inc." 921935 MHL-041-080 "RHA/North Carolina MR, Inc." 01-Nov-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Guilford #2 "1701 Westchester Drive, Ste. 940" High Point NC 27262 1800 Strathmore Drive Greensboro NC 27410 Guilford (336)288-1900 "RHA/North Carolina MR, Inc." 921962 MHL-051-010 "RHA/North Carolina MR, Inc." 01-Jun-86 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Heath Avenue Home 501-C South Wall Street Benson NC 27504 105 East Heath Avenue Smithfield NC 27577 Johnston (919)934-1573 "RHA/North Carolina MR, Inc." 921984 MHL-077-011 "RHA/North Carolina MR, Inc." 01-Aug-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Hoffman Group Home 15235 Airport Road Maxton NC 28364 104 Teal Street Hoffman NC 28347 Richmond (910)281-5623 RHA Health Svcs. Inc. 921990 MHL-049-025 "RHA/North Carolina MR, Inc." 01-Jul-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Hollingswood Group Home 190 Commerce Boulevard Statesville NC 28625 214 Hollingswood Drive Statesville NC 28625 Iredell (704)872-3257 922099 MHL-097-015 "RHA/North Carolina MR, Inc." 01-Feb-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Lakewood 176 Wildcat Road Deep Gap NC 28618 554 Ridge Lane Wilkesboro NC 28697 Wilkes (336)973-2725 RHA Health Services Inc. 922107 MHL-080-006 "RHA/North Carolina MR, Inc." 01-Feb-87 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Laura Springs Road Home 211 Roseman Lane Cleveland NC 27013 309 Laura Springs Drive Salisbury NC 28144 Rowan (704)278-9681 "RHA/North Carolina MR, Inc." 922117 MHL-083-007 "RHA/North Carolina MR, Inc." 01-Dec-89 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Lee Forest Home 15235 Airport Road Maxton NC 28364 1209 Pellham Drive Laurinburg NC 28352 Scotland (910)844-9664 "RHA/North Carolina MR, Inc." 922126 MHL-097-011 "RHA/North Carolina MR, Inc." 01-Aug-89 01-Jan-13 31-Dec-13 - - - - 12 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Lewis Fork Homes I & II 176 Wildcat Road Deep Gap NC 28618 1388 Lewis Fork Baptist Church Rd. Ferguson NC 28624 Wilkes (336)973-8151 922147 MHL-055-016 "RHA/North Carolina MR, Inc." 01-Jul-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Linoak Group Home 1754 GKN Way Newton NC 28658 3175 Bank St. Lincolnton NC 28092 Lincoln (828)428-0552 RHA Health Services 922165 MHL-032-058 "RHA/North Carolina MR, Inc." 01-Sep-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600B Supervised Living DD Minor ADOL MR/DD RESIDENTL ICF Lynn Road PO Box 868 Creedmoor NC 27522 515 Lynn Road Durham NC 27707 Durham (919)596-0307 Lynn Road 922167 MHL-063-012 "RHA/North Carolina MR, Inc." 01-Aug-91 01-Jan-13 31-Dec-13 - - - - 0 27G.2100 Specialized Community Residential Center C MR/DD RESIDENTL ICF Magnolia Group Home 15235 Airport Road Maxton NC 28364 928 Magnolia Drive Aberdeen NC 28315 Moore (910)944-2611 "RHA/North Carolina MR, Inc." 922167 MHL-063-012 "RHA/North Carolina MR, Inc." 01-Aug-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Magnolia Group Home 15235 Airport Road Maxton NC 28364 928 Magnolia Drive Aberdeen NC 28315 Moore (910)944-2611 "RHA/North Carolina MR, Inc." 922230 MHL-032-056 "RHA/North Carolina MR, Inc." 01-Sep-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Mineral Springs I 910 North Durham Ave Creedmoor NC 27522 414 Mineral Springs Road Durham NC 27703 Durham (919)596-6193 "RHA/North Carolina MR, Inc." 922231 MHL-032-057 "RHA/North Carolina MR, Inc." 01-Sep-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Mineral Springs II 910 North Durham Ave Creedmoor NC 27522 410 Mineral Springs Road Durham NC 27703 Durham (919)596-7954 "RHA/North Carolina MR, Inc." 922261 MHL-080-005 "RHA/North Carolina MR, Inc." 01-Feb-87 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Myron Place 211 Roseman Lane Cleveland NC 27013 219 Myron Place Salisbury NC 28144 Rowan (704)278-9681 "RHA/North Carolina MR, Inc." 922293 MHL-095-010 "RHA/North Carolina MR, Inc." 01-Apr-90 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY New River Vocational Center 176 Wildcat Road Deep Gap NC 28618 176 Wildcat Road Deep Gap NC 28618 Watauga (828)262-5450 922324 MHL-049-002 "RHA/North Carolina MR, Inc." 01-Apr-88 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Oakdale Group Home 190 Commerce Boulevard Statesville NC 28628 436 Mocksville Highway Statesville NC 28625 Iredell (704)872-3257 "RHA/North Carolina MR, Inc." 922329 MHL-047-003 "RHA/North Carolina MR, Inc." 01-Jun-87 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Old Farm Road 2248 Wingate Road Fayetteville NC 28304 409 Old Farm Road Raeford NC 28376 Hoke (910)424-2121 "RHA/North Carolina MR, Inc." 922350 MHL-039-007 "RHA/North Carolina MR, Inc." 01-Apr-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Park Avenue Home PO Box 868 Creedmoor NC 27522 105 Park Avenue Creedmoor NC 27522 Granville (919)528-4311 Park Avenue Home 922373 MHL-018-011 "RHA/North Carolina MR, Inc." 01-Jun-88 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Penny Lane #1 1754 GKN Way Newton NC 28658 2840 Hwy 70 East Claremont NC 28610 Catawba (828)459-0588 RHA Health Services 922374 MHL-018-016 "RHA/North Carolina MR, Inc." 13-Mar-89 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Penny Lane II 1754 GKN Way Newton NC 28658 2830 Highway 70 East Claremont NC 28610 Catawba (828)459-1339 "RHA/North Carolina, MR, Inc." 922407 MHL-030-007 "RHA/North Carolina MR, Inc." 01-Oct-87 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Pleasant Acres 211 Roseman Lane Cleveland NC 27013 447 Pleasant Acres Drive Mocksville NC 27028 Davie (704)278-9681 "RHA Health Services, Inc." 922468 MHL-005-010 "RHA/North Carolina MR, Inc." 01-Aug-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Ridgecrest I 176 Wildcat Rd. Deep Gap NC 28618 310 Locust Street West Jefferson NC 28694 Ashe (336)246-7010 RHA Health Services Inc. 922469 MHL-005-009 "RHA/North Carolina MR, Inc." 08-Aug-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Ridgecrest II 176 Wildcat Rd Deep Gap NC 28618 421 Ridgecrest Avenue West Jefferson NC 28694 Ashe (336)246-7020 RHA Health Services Inc 922475 MHL-055-005 "RHA/North Carolina MR, Inc." 01-Nov-87 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Riverview Home 1754 GKN Way Newton NC 28658 1793 Riverview Road Lincolnton NC 28092 Lincoln (704)732-1606 RHA Health Services 922499 MHL-080-001 "RHA/North Carolina MR, Inc." 01-Jan-90 01-Jan-13 31-Dec-13 - - - - 12 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Rockwell 1 & 2 211 Roseman Lane Cleveland NC 27013 Highway 152 East 6330 Rockwell NC 28138 Rowan (704)278-9681 RHA Health Services 922543 MHL-083-008 "RHA/North Carolina MR, Inc." 01-Dec-89 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB2 RESIDENTL ICF Scotland Forest Home 15235 Airport Road Maxton NC 28364 21760 Andrew J. Hwy Maxton NC 28364 Scotland (910)844-9824 "RHA/North Carolina MR, Inc." 922570 MHL-063-007 "RHA/North Carolina MR, Inc." 01-Feb-91 01-Jan-13 31-Dec-13 - - - - 15 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF Sherwood Park Home 15235 Airport Road Maxton NC 28364 126 Robinhood Lane Aberdeen NC 28315 Moore (910)944-7002 "RHA/North Carolina MR, Inc." 922601 MHL-080-014 "RHA/North Carolina MR, Inc." 01-Jun-87 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL ICF Smith Street Home 211 Roseman Lane Cleveland NC 27013 112 Smith Street Cleveland NC 27013 Rowan (704)278-9681 "RHA/North Carolina MR, Inc." 922615 MHL-083-011 "RHA/North Carolina MR, Inc." 01-Jun-90 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Maxton Vocational Center 15235 Airport Rd. Maxton NC 28364 15235 Airport Rd. Maxton NC 28364 Scotland (910)844-9664 RHA/North Carolina MR. Inc. 922652 MHL-039-006 "RHA/North Carolina MR, Inc." 01-Apr-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF Stem Road Home PO Box 868 Creedmoor NC 27522 702 Stem Road Creedmoor NC 27522 Granville (919)528-1266 922750 MHL-005-011 "RHA/North Carolina MR, Inc." 17-Aug-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Thomas Street Home 176 Wildcat Road Deep Gap NC 28618 348 Thomas St. Jefferson NC 28640 Ashe (336)246-7030 RHA Health Services Inc 922824 MHL-078-029 "RHA/North Carolina MR, Inc." 01-Dec-89 01-Jan-13 31-Dec-13 - - - - 12 27G.5600C Supervised Living DD Adult A NONAMB2 RESIDENTL ICF Wakulla I & II 15235 Airport Rd Newton NC 28364 5792 & 5812 NC Hwy 71 North Maxton NC 28364 Robeson (910)843-3760 RHA Health Services 922856 MHL-018-018 "RHA/North Carolina MR, Inc." 21-Jul-89 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Wendover Home 1754 GKN Way Newton NC 28658 631 Old Park Road Maiden NC 28650 Catawba (828)428-3122 RHA Health Services 922879 MHL-095-011 "RHA/North Carolina MR, Inc." 01-Apr-90 01-Jan-13 31-Dec-13 Type A 31-May-06 - - 15 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Wildcat Group Home 176 Wildcat Road Deep Gap NC 28618 208 Wildcat Rd. Deep Gap NC 28618 Watauga (828)262-5454 922912 MHL-099-006 "RHA/North Carolina MR, Inc." 01-Sep-90 01-Jan-13 31-Dec-13 - - - - 12 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Yadkin II & III 190 Commerce Boulevard Statesville NC 28625 3220 & 3224 US Highway 21 Hamptonville NC 27020 Yadkin (336)468-2810 922913 MHL-099-005 "RHA/North Carolina MR, Inc." 01-Aug-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Yadkin I 190 Commerce Blvd Statesville NC 28625 3716 Westwood Drive Hamptonville NC 27020 Yadkin (704)872-3257 944283 MHL-049-029 "RHA/North Carolina MR, Inc." 15-Nov-93 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Pinewood Group Home 190 Commerce Boulevard Statesville NC 28625 2101 Beauty Street Statesville NC 28625 Iredell (704)872-3257 944370 MHL-080-034 "RHA/North Carolina MR, Inc." 15-Nov-93 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Stoneridge 211 Roseman Lane Cleveland NC 27013 222 Union Heights Boulevard Salisbury NC 28144 Rowan (704)278-9681 944881 MHL-026-020 "RHA/North Carolina MR, Inc." 03-Aug-88 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Hope Mills Home 2248 Wingate Road Fayetteville NC 28304 5713 Newton Street Hope Mills NC 28348 Cumberland (910)424-2121 "RHA/North Carolina MR, Inc." 944882 MHL-026-021 "RHA/North Carolina MR, Inc." 03-Aug-88 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Southern Avenue Home 2248 Wingate Road Fayetteville NC 28304 2001 Southern Avenue Fayetteville NC 28301 Cumberland (910)424-2121 RHA Health Services 944891 MHL-026-048 "RHA/North Carolina MR, Inc." 30-Apr-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Wilmington Road Group Home 2248 Wingate Road Fayetteville NC 28304 800 Wilmington Road Fayetteville NC 28304 Cumberland (910)424-2121 "RHA/North Carolina MR, Inc." 944894 MHL-026-053 "RHA/North Carolina MR, Inc." 01-Jun-90 01-Jan-13 31-Dec-13 - - - - 12 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL ICF Strickland Bridge Homes A & B 2248 Wingate Rd. Fayetteville NC 28304 1818 Strickland Bridge Rd. Fayetteville NC 28304 Cumberland (910)424-2121 RHA Health Services 952674 MHL-055-006 "RHA/North Carolina MR, Inc." 01-Dec-87 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Sunny Hill Group Home #1 1754 GKN Way Newton NC 28658 261 Sunny Hill Drive Lincolnton NC 28092 Lincoln (704)732-5609 RHA Health Services 952779 MHL-030-005 "RHA/North Carolina MR, Inc." 01-Oct-87 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Twinbrooks 211 Roseman Lane Cleveland NC 27013 189 Fairmont Lane Mocksville NC 27028 Davie (704)278-9681 990594 MHL-080-086 "RHA/North Carolina MR, Inc." 22-Jun-99 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Beard Street 211 Roseman Lane Cleveland NC 27013 1205 Beard Street Salisbury NC 28144 Rowan (704)278-9681 990627 MHL-080-087 "RHA/North Carolina MR, Inc." 12-Jul-99 01-Jan-13 31-Dec-13 Type B 07-Dec-10 - - 3 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Sedgefield Home 211 Roseman Lane Cleveland NC 27013 1201 Beard Street Salisbury NC 28144 Rowan (704)278-9681 922389 MHL-045-066 "RHA/North Carolina MR, Inc." 01-Oct-06 01-Jan-13 31-Dec-13 Type A 12-Feb-07 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Pinebrook Group Home 410 Mills Gap Rd. Fletcher NC 28732 301 Erkwood Drive Hendersonville NC 28791 Henderson (828)697-4186 "RHA/North Carolina MR, Inc." 100826 MHL-080-048 "RHA/North Carolina MR, Inc." 03-Jan-97 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Catawba House 211 Roseman Lane Cleveland NC 27013 3170 Dunns Mountain Road Salisbury NC 28146 Rowan (704)637-5752 090436 MHL-032-061 "RHA/North Carolina MR, Inc." 05-Mar-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Holloway Street Home P.O. Box 868 Creedmoor NC 27522 4795 Stanley Road Durham NC 27704 Durham (919)471-5907 "RHA Health Services, Inc." 080688 MHL-011-351 "RHA/North Carolina MR, Inc." 11-Oct-12 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Emory Road Home 410 Mills Gap Road Fletcher NC 28732 20 Emory Road Asheville NC 28806 Buncombe (828)252-5008 "RHA/North Carolina MR, Inc." 955391 MHL-045-065 "RHA/North Carolina RM, Inc." 01-Oct-06 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Rayside B 410 Mills Gap Rd. Fletcher NC 28732 619 Ray Street Hendersonville NC 28792 Henderson (828)697-4485 "RHA/North Carolina MR,Inc." 921396 MHL-018-014 "RHA/North Carolina, MR, Inc." 03-Feb-89 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF 23rd Street Home 1754 GKN Way Newton NC 28658 804 East 23rd Street Newton NC 28658 Catawba (828)465-2114 RHA Health Services 921934 MHL-041-078 "RHA/North Carolina, MR, Inc." 01-Oct-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Guilford #1 "1701 Westchester Drive, Ste. 940" High Point NC 27262 416 Boxwood Drive Greensboro NC 27410 Guilford (336)294-6688 "RHA Health Services, Inc." 922564 MHL-018-017 "RHA/North Carolina, MR, Inc." 28-Jun-89 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Shannonbrook Home 1754 GKN Way Newton NC 28658 914 West First Street Newton NC 28658 Catawba (828)465-2003 RHA Health Services 922673 MHL-055-010 "RHA/North Carolina, MR, Inc." 01-Jun-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Sunny Hill II 1754 GKN Way Newton NC 28658 279 Sunny Hill Drive Lincolnton NC 28092 Lincoln (704)732-7579 RHA Health Services 951936 MHL-041-081 "RHA/North Carolina, MR, Inc." 01-Jan-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL ICF Guilford #3 "1701 Westchester Drive, Ste. 940" High Point NC 27262 2600 Pleasant Ridge Road Summerfield NC 27409 Guilford (336)643-1244 "RHA Health Services, Inc." 120079 MHL-032-573 ROJ Mental Health & Substance Abuse Services 10-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY ROJ Mental Health & Substance Abuse Services 3700 Lyckan Pkwy Suite B Durham NC 27707 3700 Lyckan Pkwy Suites A & B Durham NC 27707 Durham (919)381-6816 130151 MHL-063-076 "ROMCO, Inc." 13-Mar-08 09-Apr-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Recovery Associates Moore 677 S. Bennett Street Southern Pines NC 28387 677 S. Bennett Street Southern Pines NC 28387 Moore (910)692-9111 "ROMCO, Inc." 090134 MHL-008-044 Rachel's House 09-Apr-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Rachel's House Day Treatment 1212 Charles Street Windsor NC 27983 1212 Charles Street Windsor NC 27983 Bertie (252)794-8503 090134 MHL-008-044 Rachel's House 09-Apr-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL MI DAY Rachel's House Day Treatment 1212 Charles Street Windsor NC 27983 1212 Charles Street Windsor NC 27983 Bertie (252)794-8503 070276 MHL-083-037 "Rainbow 66 Storehouse, Inc" 27-Jul-07 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Rainbow 66 Storehouse, Inc." 525 Atkinson Street Laurinburg NC 28352 603 West Boulevard Laurinburg NC 28352 Scotland (910)266-0349 "Rainbow 66 Storehouse, Inc." 011181 MHL-083-029 "Rainbow 66 Storehouse, Inc." 24-May-02 01-Jan-13 31-Dec-13 Type B 14-Sep-10 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Rainbow 66 Storehouse, Inc." 525 Atkinson Street Laurinburg NC 28352 22521 Bunch Road Laurel Hill NC 28351 Scotland (910)462-0108 "Rainbow 66 Storehouse, Inc. Diversity" 922133 MHL-032-053 "Rainbow 66 Storehouse, Inc." 01-Jun-90 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&A MD DAY "Rainbow 66 Storehouse, Inc." 525 Atkinson Street Laurinburg NC 28352 706 Rigsbee Avenue Durham NC 27701 Durham (919)686-0165 "Rainbowhouse 66 Storehouse, Inc." 120628 MHL-077-074 "Rainbow 66 Storehouse, Inc." 04-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY "Rainbow 66 Storehouse, Inc." 525 Atkinson Street Laurinburg NC 28352 427 South Hancock Street Rockingham NC 28379 Richmond (910)276-4015 080565 MHL-026-812 "Rainbow of Sunshine, Inc." 23-Nov-05 01-Jan-13 31-Dec-13 Type A 05-Nov-12 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Rainbow of Sunshine 2 307 Cedarwood Street Spring Lake NC 28390 307 Cedarwood Street Spring Lake NC 28390 Cumberland (910)495-0756 Tara N. Ingram 956897 MHL-026-813 "Rainbow of Sunshine, Inc." 23-Nov-05 01-Jan-13 31-Dec-13 Type B 13-Feb-08 - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MD RESIDENTL Rainbow of Sunshine I 307 Cedarwood Street Spring Lake NC 28390 4661 Pennystone Drive Fayetteville NC 28306 Cumberland (910)527-3083 Rainbow of Sunshine 041008 MHL-041-745 "Ralph Jones, Renee Jones & Keith Jones" 14-Dec-04 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Jones Supervised Living 526 E. Dayton Avenue High Point NC 27262 526 East Dayton Avenue High Point NC 27262 Guilford (336)886-6196 Jones Supervised Living 000155 MHL-001-094 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Spring Hill Group Home 408 West Trade Road Burlington NC 27217 154 Huffine Road Gibsonville NC 27249 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 001460 MHL-001-086 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB2 RESIDENTL Haw River Group Home 408 West Trade Street Burlington NC 27217 2150 Haw River-Hopedale Road Haw River(Burlington) NC 27217 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 920038 MHL-001-090 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Aspen Court Group Home 408 West Trade Street Burlington NC 27217 407 Aspen Court Graham NC 27253 Alamance (336)227-1011 "Ralph Scott LifeServices, Inc." 920131 MHL-001-089 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 7 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Broad Street Group Home 408 West Trade Street Burlington NC 27217 724 South Broad Burlington NC 27215 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 920580 MHL-001-088 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Huffines Group Home 408 West Trade Street Burlington NC 27215 3372 Huffines Drive Burlington NC 27215 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 920644 MHL-001-087 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lakeside Avenue Group Home 408 West Trade Street Burlington NC 27217 422 Lakeside Avenue Burlington NC 27217 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 920760 MHL-001-091 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type A 12-Apr-12 - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL McPherson Group Home 408 West Trade Drive Burlington NC 27217 400 East McPherson Drive Mebane NC 27302 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 920859 MHL-001-092 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL North Mebane Street Group Home 408 West Trade Street Burlington NC 27217 1422 North Mebane Street Burlington NC 27217 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 921077 MHL-001-093 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Second Street Group Home 408 West Trade Street Burlington NC 27217 700 South Second Street Mebane NC 27302 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 921093 MHL-017-015 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Seventh Avenue Group Home 408 West Trade Street Burlington NC 27217 164 Seventh Avenue Yanceyville NC 27379 Caswell (336)227-1011 "Ralph Scott Lifeservices, Inc." 921279 MHL-001-098 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Union Avenue Group Home 408 West Trade Street Burlington NC 27217 217 Union Avenue Burlington NC 27217 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 921345 MHL-001-095 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type A 19-Feb-13 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Williamson Avenue Group Home 408 West Trade Street Burlington NC 27217 529 Williamson Avenue Elon NC 27244 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 922412 MHL-001-007 "Ralph Scott Lifeservices, Inc." 01-Mar-84 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Poplar Street Group Home 408 West Trade Street Burlington NC 27217 328 Poplar Street Graham NC 27253 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 922765 MHL-001-008 "Ralph Scott Lifeservices, Inc." 01-Mar-84 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Ralph Scott Lifeservices, Inc." 408 West Trade Street Burlington NC 27217 710 Townbranch Road Graham NC 27253 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 931337 MHL-001-096 "Ralph Scott Lifeservices, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type A 02-Oct-08 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Wildwood Lane Group Home 408 West Trade Street Burlington NC 27217 505 Wildwood Lane Graham NC 27253 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 952105 MHL-001-027 "Ralph Scott Lifeservices, Inc." 23-Aug-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB2 RESIDENTL ICF "Ralph Scott Lifeservices, inc.-Laramie Drive Group Home" 408 West Trade Street Burlington NC 27217 108 Laramie Drive Mebane NC 27302 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 954539 MHL-001-030 "Ralph Scott Lifeservices, Inc." 10-Mar-94 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Ralph Scott Lifeservices, Inc./Veterans Drive" 408 West Trade Street Burlington NC 27217 500 Veterans Drive Elon College NC 27244 Alamance (336)227-1011 "Ralph Scott Lifeservices, Inc." 954623 MHL-001-031 "Ralph Scott Lifeservices, Inc." 27-Apr-94 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Ralph Scott Lifeservices, Inc./Rosemont Street" 408 West Trade Street Burlington NC 27249 304 Rosemont Street Gibsonville NC 27217 Alamance (910)227-1011 "Ralph Scott Lifeservices, Inc." 955649 MHL-001-040 "Ralph Scott Lifeservices, Inc." 29-Dec-94 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Star Point Day Program 408 West Trade Street Burlington NC 27217 1212 Turrentine Street Burlington NC 27215 Alamance (336)513-4335 "Ralph Scott Lifeservices, Inc." 920498 MHL-017-014 "Ralph Scott Lifeservices, Inc." 01-Oct-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hamer Group Home 408 West Trade Street Burlington NC 27217 4183 Highway 62N Blanch NC 27212 Caswell (336)227-1011 Ralph Scott Lifeservices 956924 MHL-076-030 Randolph County 09-Nov-95 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment ADOL&A SAS DAY Randolph County Day Reporting Center 1520 North Fayetteville Street Asheboro NC 27203 1520 North Fayetteville Street Asheboro NC 27203 Randolph (333)683-8226 050751 MHL-076-089 Randolph County 02-Mar-08 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Randolph County Day Reporting Center 145 Worth Street Asheboro NC 27203 145 Worth Street Asheboro NC 27203 Randolph (336)683-8211 922432 MHL-076-001 "Randolph Fellowship Home, Inc." 01-Dec-84 01-Jan-13 31-Dec-13 - - - - 7 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Alpha House PO Box 2543 Asheboro NC 27204-2543 373 Hill Street Asheboro NC 27203 Randolph (336)625-1627 "Randolph Fellowship Home, Inc." 070082 MHL-011-280 "Ray of Light Homes, LLC" 02-Jul-07 07-Mar-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A NONAMB1 RESIDENTL Judy Ray Home PO Box 1497 Leicester NC 28748 27 Caldwell Road Leicester NC 28748 Buncombe (828)683-4661 "Ray of LightHomes, LLC" 070082 MHL-011-280 "Ray of Light Homes, LLC" 02-Jul-07 07-Mar-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services A NONAMB1 RESIDENTL Judy Ray Home PO Box 1497 Leicester NC 28748 27 Caldwell Road Leicester NC 28748 Buncombe (828)683-4661 "Ray of LightHomes, LLC" 070132 MHL-011-314 "Ray of Light Homes, LLC" 19-Aug-09 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Long Home PO Box 1497 Leicester NC 28748 25 Pine Knoll Street Asheville NC 28806 Buncombe (828)504-4293 "Ray of Light Homes, LLC" 100921 MHL-044-050 "Ray of Light Homes, LLC" 09-Mar-09 01-Jan-13 31-Dec-13 Type B 28-Mar-13 - - 2 27G.5600F Supervised Living/Alternative Family Living C&A MD RESIDENTL Grasty Gables PO Box 1497 Leicester NC 28748 131 Walnut Road Clyde NC 28721 Haywood (828)593-8037 "Ray of Light Homes, LLC" 110208 MHL-011-340 "Ray of Light Homes, LLC" 01-Nov-11 01-Jan-13 31-Dec-13 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Ball AFL Home PO Box 1497 Leicester NC 28748 164 Aiken Road Asheville NC 28804 Buncombe (828)645-8590 "Ray of Light Homes, LLC" 120512 MHL-011-352 "Ray of Light Homes, LLC" 13-Nov-12 01-Jan-13 31-Dec-13 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Springs Cabin PO Box 1497 Leicester NC 28748 9 Pinnacle View Road Asheville NC 28803 Buncombe (828)277-3315 "Ray of Light Homes, LLC" 980143 MHL-096-078 "ReNu Life, L.L.C." 01-Feb-98 01-Jan-13 31-Dec-13 Type B 30-Jan-13 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Pineview PO Box 1017 Goldsboro NC 27533-1017 304 South Pineview Avenue Goldsboro NC 27530 Wayne (919)734-0266 "ReNu Life, Inc." 980525 MHL-096-088 "ReNu Life, L.L.C." 01-Jun-98 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Tinderwood PO Box 1017 Goldsboro NC 27533-1017 102 Tinderwood Drive Goldsboro NC 27534 Wayne (919)734-0266 ReNu Life Inc. 980600 MHL-096-092 "ReNu Life, L.L.C." 18-Aug-98 01-Jan-13 31-Dec-13 Type A 24-Jul-08 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Lakeview PO Box 1017 Goldsboro NC 27533-1017 103 Lakeview Drive Goldsboro NC 27530 Wayne (919)734-0266 "ReNu Life, Inc." 991156 MHL-096-109 "ReNu Life, L.L.C." 16-Dec-99 01-Jan-13 31-Dec-13 Type B 09-May-06 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Taylor Home PO Box 1017 Goldsboro NC 27533-1017 802 South Taylor Street Goldsboro NC 27530 Wayne (919)581-0273 "ReNu Life, LLC" 101210 MHL-096-219 "ReNu Life, L.L.C." 05-Mar-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY TBI Rehab Center PO Box 1017 Goldsboro NC 27533 106 US Highway 117 Bypass South Goldsboro NC 27530 Wayne (919)736-8505 "ReNu Life,Inc." 101210 MHL-096-219 "ReNu Life, L.L.C." 05-Mar-09 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MD DAY TBI Rehab Center PO Box 1017 Goldsboro NC 27533 106 US Highway 117 Bypass South Goldsboro NC 27530 Wayne (919)736-8505 "ReNu Life,Inc." 080371 MHL-033-066 "Reaching U Consulting Agency, Inc." 08-Oct-09 01-Jan-13 31-Dec-13 Type A 06-Dec-11 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Reaching U Consulting Agency, Inc." 901 Lancaster Street Rocky Mount NC 27801 901 Lancaster Street Rocky Mount NC 27801 Edgecombe (252)885-4749 Reaching U Consulting Agency 040566 MHL-092-603 "Reaching Your Goals, Inc." 09-Jul-04 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Reaching Your Goals, Inc." 1203 Kent Road Raleigh NC 27606 6004 Woodstock Drive Raleigh NC 27609 Wake (919)848-6882 "Reaching Your Goals, Inc." 080414 MHL-092-721 "Reaching Your Goals, Inc." 19-Aug-08 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Reaching Your Goals, Inc." 1203 Kent Rd Raleigh NC 27606 1201 Kent Road Raleigh NC 27609 Wake (919)896-7602 Reba R. Williams 080414 MHL-092-721 "Reaching Your Goals, Inc." 19-Aug-08 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY "Reaching Your Goals, Inc." 1203 Kent Rd Raleigh NC 27606 1201 Kent Road Raleigh NC 27609 Wake (919)896-7602 Reba R. Williams 120583 MHL-032-581 "Reaching Your Goals, Inc." 20-Dec-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment ADOL MI DAY Reaching Your Goals 1220 Nowell Road Raleigh NC 27607 512 Simmons Street Durham NC 27707 Durham (919)530-8755 "Reaching Your Goals, Inc." 120583 MHL-032-581 "Reaching Your Goals, Inc." 20-Dec-12 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA ADOL SAS DAY Reaching Your Goals 1220 Nowell Road Raleigh NC 27607 512 Simmons Street Durham NC 27707 Durham (919)530-8755 "Reaching Your Goals, Inc." 130142 MHL-041-1069 "Ready4Change, Inc." 21-Dec-12 26-Mar-12 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation ADOL&A MI DAY "Ready 4 Change, Inc." 3613 Marksbury Drive Greensboro NC 27405 "2301 W. Meadowview Road, Suite 101" Greensboro NC 27407 Guilford (336)473-7597 "Ready4Change, Inc." 130142 MHL-041-1069 "Ready4Change, Inc." 21-Dec-12 26-Mar-12 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Ready 4 Change, Inc." 3613 Marksbury Drive Greensboro NC 27405 "2301 W. Meadowview Road, Suite 101" Greensboro NC 27407 Guilford (336)473-7597 "Ready4Change, Inc." 130142 MHL-041-1069 "Ready4Change, Inc." 21-Dec-12 26-Mar-12 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "Ready 4 Change, Inc." 3613 Marksbury Drive Greensboro NC 27405 "2301 W. Meadowview Road, Suite 101" Greensboro NC 27407 Guilford (336)473-7597 "Ready4Change, Inc." 060491 MHL-049-132 "Realistic Change By Choice, Inc. (RCBC)" 19-Jul-06 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Realistic Change by C.H.O.I.C.E. @ Winchester II PO Box 570 Troutman NC 28166 320 Winchester Road Troutman NC 28166 Iredell (704)528-8363 030670 MHL-049-129 "Realistic Change By Choice, Inc. (RCBC)" 24-Oct-03 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Realistic Change by C.H.O.I.C.E. @ Valleybrook I PO Box 570 Troutman NC 28166 245 Valleybrook Lane Troutman NC 28166 Iredell (704)528-5079 041369 MHL-049-130 "Realistic Change By Choice, Inc. (RCBC)" 16-Nov-06 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Realistic Change by C.H.O.I.C.E. @Valleybrook II P.O. Box 570 Troutman NC 28166 251 Valleybrook Lane Troutman NC 28166 Iredell (704)528-2063 040418 MHL-049-131 "Realistic Change By Choice, Inc. (RCBC)" 07-Sep-03 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Realistic Change by C.H.O.I.C.E. @ Winchester I PO Box 570 Troutman NC 28166 332 Winchester Road Troutman NC 28166 Iredell (704)980-4002 921608 MHL-032-420 "Recovery Center of Durham, Inc." 02-Oct-07 01-Jan-13 31-Dec-13 Type B 06-Dec-10 - - 6 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Recovery Center of Durham II 2203 Elmwood Avenue Durham NC 27707 2203 Elmwood Avenue Durham NC 27707 Durham (919)489-2867 Thomas B. Bass Jr. 110456 MHL-032-365 "Recovery Center of Durham, Inc." 12-Apr-06 01-Jan-13 31-Dec-13 - - - - 6 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Recovery Center of Durham 2913 Wadsworth Avenue Durham NC 27707 2913 Wadsworth Avenue Durham NC 27707 Durham (919)381-6198 "Recovery Center of Durham, Inc." 080776 MHL-091-089 "Recovery Innovations of North Carolina, Inc." 13-May-09 01-Jan-13 31-Dec-13 - - - - 5 27G.5000 Facility Crisis Svcs. for all Disability Groups A MD RESIDENTL RINC Recovery Response Center 300 Parkview Drive Henderson NC 27536 300 Parkview Drive West Henderson NC 27536 Vance (252)438-4145 "Recovery Innovations of North Carolina, Inc." 080776 MHL-091-089 "Recovery Innovations of North Carolina, Inc." 13-May-09 01-Jan-13 31-Dec-13 - - - - 5 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL RINC Recovery Response Center 300 Parkview Drive Henderson NC 27536 300 Parkview Drive West Henderson NC 27536 Vance (252)438-4145 "Recovery Innovations of North Carolina, Inc." 030866 MHL-059-035 Recovery Ventures Corporation 02-May-07 01-Jan-13 31-Dec-13 - - - - 62 27G.4300 Supervised Therapeutic Community A SAS RESIDENTL Recovery Ventures Corporation PO Box 452 Black Mountain NC 28771 904 Davistown Road Old Fort NC 28762 McDowell (828)668-1000 Recovery Ventures Corporation 110226 MHL-041-1000 "Reign & Inspirations, LLC" 30-Dec-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Reign & Inspirations, LLC" 323 South Swing Road Greensboro NC 27409 323 South Swing Road Greensboro NC 27409 Guilford (336)547-8900 110226 MHL-041-1000 "Reign & Inspirations, LLC" 30-Dec-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Reign & Inspirations, LLC" 323 South Swing Road Greensboro NC 27409 323 South Swing Road Greensboro NC 27409 Guilford (336)547-8900 942448 MHL-079-019 "Remmsco, Inc." 01-Apr-92 01-Jan-13 31-Dec-13 Type B 13-Jan-11 - - 6 27G.5600E Supervised Living SA Adult A SAS RESIDENTL Remmsco Women's House 106 North Franklin Street Reidsville NC 27320 106 North Franklin Street Reidsville NC 27320 Rockingham (336)342-9504 "Remmsco, Inc." 080273 MHL-036-298 "Renewed Services, Inc." 01-Jun-12 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Postelle Home "809 N. Lafayette Street, Suite G" Shelby NC 28150 1039 Bakers Spring Lane Crouse NC 28033 Gaston (704)671-8182 "Renewed Services, Inc." 990772 MHL-034-113 ResCare of North Carolina-EduCare Community Living 28-May-99 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Konnoak Group Home P.O. Box 150 Wilkesboro NC 28697 2901 Konnoak Drive Winston Salem NC 27127 Forsyth (336)788-5543 Community Alternatives - NC 120509 MHL-008-051 "Residential Loving Care, LLC" 15-Aug-11 08-Jan-13 31-Dec-13 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Residential Loving Care #2 PO Box 681 Woodland NC 27897 215 Holloman Road Ahoskie NC 27910 Bertie (252)209-0554 "Residential Loving Care, LLC" 001445 MHL-068-093 "Residential Services, Inc." 07-Dec-00 01-Jan-13 31-Dec-13 - - - - 4 27G.5600B Supervised Living DD Minor C MR/DD RESIDENTL RSI-Aberdeen Group Home 111 Providence Road Chapel Hill NC 27514 106 Aberdeen Court Carrboro NC 27510 Orange (919)942-7391 920974 MHL-068-102 "Residential Services, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RSI-Purefoy Road 111 Providence Road Chapel Hill NC 27514 102 Purefoy Road Chapel Hill NC 27514 Orange (919)942-7391 "Residential Services, Inc." 920997 MHL-068-096 "Residential Services, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RSI-Umstead Road 111 Providence Road Chapel Hill NC 27514 334 Umstead Drive Chapel Hill NC 27514 Orange (919)942-7391 "Residential Services, Inc." 010376 MHL-068-012 "Residential Services, Inc." 01-Jan-85 01-Jan-13 31-Dec-13 - - - - 8 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Residential Services, Inc. Retirement Center" 111 Providence Road Chapel Hill NC 27514 6310 Mount Herman Church Road Durham NC 27705 Orange (919)383-4444 "Residential Services, Inc." 010376 MHL-068-012 "Residential Services, Inc." 01-Jan-85 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF "Residential Services, Inc. Retirement Center" 111 Providence Road Chapel Hill NC 27514 6310 Mount Herman Church Road Durham NC 27705 Orange (919)383-4444 "Residential Services, Inc." 922560 MHL-068-049 "Residential Services, Inc." 15-Sep-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600B Supervised Living DD Minor ADOL&A NONAMB1 RESIDENTL ICF Shadylawn 111 Providence Road Chapel Hill NC 27514 901 Shadylawn Drive Chapel Hill NC 27516 Orange (919)933-4335 922576 MHL-068-014 "Residential Services, Inc." 01-Jul-85 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Silo Drive Facility-Chapel Hill 111 Providence Road Chapel Hill NC 27514 111 Silo Drive Chapel Hill NC 27514 Orange (919)942-4172 "Residential Services, Inc." 922862 MHL-068-035 "Residential Services, Inc." 01-Aug-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF West Main Street Facility-Carrboro 111 Providence Road Chapel Hill NC 27514 1003 W. Main Street Carrboro NC 27510 Orange (919)942-6185 070504 MHL-068-094 "Residential Services, Inc." 11-Jan-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RSI - Piney Mount 111 Providence Road Chapel Hill NC 27516 429 Piney Mountain Road Chapel Hill NC 27514 Orange (919)942-7391 "Residential Services, Inc." 940996 MHL-068-098 "Residential Services, Inc." 06-Nov-90 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RSI-Clayton Road 111 Providence Road Chapel Hill NC 27514 417 Clayton Road Chapel Hill NC 27514 Orange (919)932-3987 "Residential Services, Inc." 956358 MHL-068-066 "Residential Services, Inc." 19-Sep-95 01-Jan-13 31-Dec-13 - - - - 6 27G.5600B Supervised Living DD Minor C&ADOL MR/DD RESIDENTL ICF Christopher Road 111 Providence Road Chapel Hill NC 27514 802 Christopher Road Chapel Hill NC 27514 Orange (919)929-0732 "Sarah Hartsock - Residential Services, Inc." 956942 MHL-068-100 "Residential Services, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RSI-Gary Road 111 Providence Road Chapel Hill NC 27514 402 Gary Road Carrboro NC 27510 Orange (919)942-7391 "Residential Services, Inc." 960278 MHL-068-099 "Residential Services, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RSI-Hamilton Road 111 Providence Road Chapel Hill NC 27514 237 Hamilton Road Chapel Hill NC 27517 Orange (919)942-7745 "Residential Services, Inc." 970788 MHL-068-132 "Residential Services, Inc." 04-Apr-07 01-Jan-13 31-Dec-13 Type A 02-Mar-11 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RSI - Ferrell Road 111 Providence Road Chapel Hill NC 27514 1543 Ferrell Road Chapel Hill NC 27517 Orange (919)967-3110 Residential Svcs. / Dennis Bradshaw 990456 MHL-068-101 "Residential Services, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RSI-Oleander 111 Providence Road Chapel Hill NC 27514 203 Oleander Drive Carrboro NC 27510 Orange (919)929-3708 "Residential Services, Inc." 990876 MHL-068-089 "Residential Services, Inc." 09-Sep-99 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB2 RESIDENTL ICF Quail Roost Group Home (ICF/MR) 111 Providence Road Chapel Hill NC 27514 102 Quail Roost Drive Carrboro NC 27510 Orange (919)960-6167 "Residential Services, Inc." 060755 MHL-068-135 "Residential Services, Inc." 01-Apr-08 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RSI-Ephesus Church Road 111 Providence Road Chapel Hill NC 27514 1508 Ephesus Church Road Chapel Hill NC 27517 Orange (919)942-3526 "Residential Services, Inc." 090298 MHL-068-140 "Residential Services, Inc." 21-May-09 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY "Residential Services, Inc.-Life Options" 111 Providence Road Chapel Hill NC 27514 111 Providence Road Chapel Hill NC 27514 Orange (919)942-7391 "Residential Services, Inc." 110794 MHL-068-152 "Residential Services, Inc." 26-Sep-11 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY RSI - Golden Opportunities 111 Providence Road Chapel Hill NC 27514 6308 Mt. Herman Church Road Durham NC 27705 Orange (919)384-7208 "Residential Services, Inc." 920041 MHL-092-474 "Residential Support Services of Wake County, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type B 30-Aug-10 - - 5 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Res. Support Svcs. of Wake Co.-Atlantic Ave GH PO Box 98476 Raleigh NC 27624 3416 Atlantic Avenue Raleigh NC 27604 Wake (919)876-8861 Resd'l Support Svcs of Wake Co 920492 MHL-092-473 "Residential Support Services of Wake County, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Res. Support Svcs. of Wake Co.-Hailey Dr G H PO Box 98476 Raleigh NC 27624 408 Hailey Drive Raleigh NC 27606 Wake (919)851-3401 Residential Support Svcs of Wake Co 920777 MHL-092-472 "Residential Support Services of Wake County, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Res. Support Svcs. of Wake Co.-Millbrook Rd GH PO Box 98476 Raleigh NC 27624 300 East Millbrook Road Raleigh NC 27609 Wake (919)847-4612 Resd'l Support Svcs of Wake Co 030366 MHL-001-014 "Residential Treatment Services of Alamance, Inc." 01-Jul-86 01-Jan-13 31-Dec-13 Type B 10-Nov-09 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Crestview Group Home #2 Residential Treatment Srvcs of Alam Burlington NC 27216 635 Crestview Drive Burlington NC 27217 Alamance (336)222-1737 942857 MHL-001-016 "Residential Treatment Services of Alamance, Inc." 01-Jun-75 01-Jan-13 31-Dec-13 Type A 29-Jun-10 - - 4 27G.3100 Non-hospital Medical Detoxification A SAS RESIDENTL Hall Avenue Facility P.O. Box 427 Burlington NC 27216-0427 136 Hall Avenue Burlington NC 27217 Alamance (336)227-7417 942857 MHL-001-016 "Residential Treatment Services of Alamance, Inc." 01-Jun-75 01-Jan-13 31-Dec-13 Type A 29-Jun-10 - - 15 27G.5600E Supervised Living SA Adult A AMB RESIDENTL Hall Avenue Facility P.O. Box 427 Burlington NC 27216-0427 136 Hall Avenue Burlington NC 27217 Alamance (336)227-7417 942857 MHL-001-016 "Residential Treatment Services of Alamance, Inc." 01-Jun-75 01-Jan-13 31-Dec-13 Type A 29-Jun-10 - - 8 27G.5000 Facility Crisis Svcs. for all Disability Groups A AMB RESIDENTL Hall Avenue Facility P.O. Box 427 Burlington NC 27216-0427 136 Hall Avenue Burlington NC 27217 Alamance (336)227-7417 991142 MHL-001-070 "Residential Treatment Services of Alamance, Inc." 03-Dec-99 01-Jan-13 31-Dec-13 Type B 24-Aug-12 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Crestview Group Home PO Box 427 Burlington NC 27216 631 Crestview Drive Burlington NC 27217 Alamance (336)227-1911 Residential Trtmt Svcs of Alamance 130087 MHL-060-1262 "Resourceful Solutions 2, LLC" 27-Mar-13 27-Mar-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL SAS DAY Resourceful Solutions II PO Box 43345 Charlotte NC 28217 "2301 Rama Road, Suite B" Charlotte NC 28212 Mecklenburg (704)563-3336 Resourceful Solutions 2 LLC 001496 MHL-092-445 "Resources for Human Development, Inc." 24-Jan-01 01-Jan-13 31-Dec-13 Type A 25-Nov-09 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL RHD Ranch Mill Circle "1503 Crest Road., Ste 201" Raleigh NC 27606 1940 Ranch Mill Circle Raleigh NC 27610 Wake (919)326-8058 Karen Burns 031020 MHL-092-580 "Resources for Human Development, Inc." 30-Jan-04 01-Jan-13 31-Dec-13 - - - - 2 27G.5600A Supervised Living MI Adult A MI RESIDENTL Varsity Crest #1 1503 Crest Road #201 Raleigh NC 27606 1503 Crest Road Apt. 101 Raleigh NC 27606 Wake (919)755-1218 Resources for Human Dev. Inc. 031019 MHL-092-581 "Resources for Human Development, Inc." 30-Jan-04 01-Jan-13 31-Dec-13 - - - - 2 27G.5600A Supervised Living MI Adult A MI RESIDENTL Varsity Crest #2 1503 Crest Road #201 Raleigh NC 27606 1503 Crest Rd. Apt. 102 Raleigh NC 27606 Wake (919)755-1218 031018 MHL-092-582 "Resources for Human Development, Inc." 30-Jan-04 01-Jan-13 31-Dec-13 - - - - 2 27G.5600A Supervised Living MI Adult A MI RESIDENTL Varsity Crest #3 1503 Crest Rd. #201 Raleigh NC 27606 1503 Crest Road Apt. 103 Raleigh NC 27606 Wake (919)755-1218 Resources for Human Development 001398 MHL-092-716 "Resources for Human Development, Inc." 10-Jul-08 01-Jan-13 31-Dec-13 Type B 10-Aug-12 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL New Bailey 1503 Crest Rd. # 201 Raleigh NC 27606 3516 Lytham Place Raleigh NC 27604 Wake (919)255-9263 Resources for Human Development 001351 MHL-092-723 "Resources for Human Development, Inc." 15-Sep-08 01-Jan-13 31-Dec-13 Type A 12-Aug-10 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cascade Court 1503 Crest Rd. #201 Raleigh NC 27606 3805 Cascade Court Raleigh NC 27604 Wake (919)713-0300 Resources for Human Development 100048 MHL-023-164 "Restoration Concepts, Inc." 30-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Restoration Concepts "809 North Lafayette Street, Suite A" Shelby NC 28150 "809 North Lafayette Street, Suite A" Shelby NC 28150 Cleveland (704)481-8379 "Restoration Concepts, Inc." 101236 MHL-051-186 "Restoration Family Services, Inc." 12-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Restoration Family Services, Inc." 15 Noble Street Smithfield NC 27577 15 Noble Street Smithfield NC 27577 Johnston (919)938-9502 120039 MHL-039-055 "Restoring Bodies and Minds, LLC" 21-Mar-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Restoring Bodies and Minds, LLC" PO Box 101 Townsville NC 27584 "2555 Capital Drive, Suite E4" Creedmoor NC 27522 Granville (919)529-2215 971212 MHL-024-053 Rickie G. Rouse 18-Jun-02 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Rouse Counseling & Consulting Services PO Box 732 Whiteville NC 28472 805 North Franklin St. Room #7 Whiteville NC 28472 Columbus (910)642-9008 971212 MHL-024-053 Rickie G. Rouse 18-Jun-02 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Rouse Counseling & Consulting Services PO Box 732 Whiteville NC 28472 805 North Franklin St. Room #7 Whiteville NC 28472 Columbus (910)642-9008 101125 MHL-092-814 Ricot Riphin 25-Mar-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Absolute Care Services 5127 Wetlands Drive Raleigh NC 27610 5127 Wetlands Drive Raleigh NC 27610 Wake (919)615-1003 Ricot Riphin 120646 MHL-026-915 "Right Foundation, Inc." 05-Jan-11 05-Feb-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Right Foundation, Inc." 705 Cumberland Street Fayetteville NC 28301 705 Cumberland Street Fayetteville NC 28301 Cumberland (910)485-0041 120646 MHL-026-915 "Right Foundation, Inc." 05-Jan-11 05-Feb-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Right Foundation, Inc." 705 Cumberland Street Fayetteville NC 28301 705 Cumberland Street Fayetteville NC 28301 Cumberland (910)485-0041 120646 MHL-026-915 "Right Foundation, Inc." 05-Jan-11 05-Feb-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Right Foundation, Inc." 705 Cumberland Street Fayetteville NC 28301 705 Cumberland Street Fayetteville NC 28301 Cumberland (910)485-0041 110821 MHL-060-1232 "Rising Hope Clinical Assistance, LLC" 02-Dec-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Rising Hope Clinical Assistance - Hope Restored PO Box 561537 Charlotte NC 28256 "1923 J N Pease Place, Suite 101" Charlotte NC 28262 Mecklenburg (704)549-9800 "Rising Hope Clinical Assistance, LLC" 030560 MHL-041-696 "Rising Phoenix, Inc." 13-Oct-03 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Rising Phoenix, Inc." 603 Montrose Drive Greensboro NC 27405 603 Montrose Drive Greensboro NC 27410 Guilford (336)855-3744 Mel Westmoreland 040545 MHL-078-166 "Riverbend Residential Services, Inc." 19-Aug-04 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Riverbend Residential Services, Inc." PO Box 1768 Lumberton NC 28359 4195 South Creek Road Orrum NC 28369 Robeson (910)628-9272 080450 MHL-032-516 RoShaun Williams 26-Jan-10 01-Jan-13 31-Dec-13 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL RoShaun's House of Care 4012 Guess Road Durham NC 27705 4012 Guess Road Durham NC 27705 Durham (919)620-7967 RoShaun Williams 921022 MHL-091-061 Roanoke Avenue Group Home 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A NONAMB2 RESIDENTL Roanoke Avenue Group Home PO Box 88 Henderson NC 27536 264 S. Beckford Drive Henderson NC 27536 Vance (252)438-7060 922476 MHL-094-002 Roanoke Developmental Center Inc. 01-Jul-85 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY "Roanoke Developmental Center, Inc." PO Box 967 Plymouth NC 27962 609 Adams Street Plymouth NC 27962 Washington (252)793-5077 922476 MHL-094-002 Roanoke Developmental Center Inc. 01-Jul-85 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Roanoke Developmental Center, Inc." PO Box 967 Plymouth NC 27962 609 Adams Street Plymouth NC 27962 Washington (252)793-5077 920480 MHL-048-003 "Roanoke Developmental Center, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type A 22-Aug-11 - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Hyde County Group Home PO Box 967 Plymouth NC 27962 9400 Piney Woods Road Fairfield NC 27826 Hyde (252)926-1833 "Roanoke Developmental Center, Inc." 920483 MHL-089-003 "Roanoke Developmental Center, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type A 14-Jul-10 - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Tyrrell County Group Home PO Box 967 Plymouth NC 27962 601 North Light Street Columbia NC 27925 Tyrrell (252)796-0208 920484 MHL-094-005 "Roanoke Developmental Center, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Washington County Group Home #2 PO Box 967 Plymouth NC 27962 118 Old Roper Road Plymouth NC 27962 Washington (252)793-5524 Washington Co. Grp. Hm. 921308 MHL-094-006 "Roanoke Developmental Center, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL Washington County Group Home #3 PO Box 967 Plymouth NC 27962 108 Hampton Drive Plymouth NC 27962 Washington (252)793-3190 000345 MHL-041-572 Robert & Hattie Graves 11-May-00 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Sylvanglade Home 108 Winola Court Greensboro NC 27409 4915 Sylvanglade Road McLeansville NC 27301 Guilford (336)285-5424 Hattie Graves 110772 MHL-001-221 Robert L. Robinson 26-Oct-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Birch Manor Group Home PO Box 1996 Burlington NC 27216 420 Birch Court Burlington NC 27217 Alamance (336)270-3014 Robert L. Robinson 020802 MHL-041-111 Robert Osayande Asemota 01-Oct-92 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY OSA Assessment & Counseling Service PO Box 1506 High Point NC 27261 202 Kelly Place Suite 101 High Point NC 27262 Guilford (336)882-6859 080457 MHL-034-200 Robert Osayande Asemota 04-Jan-06 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY OSA Assessment & Counseling Services PO Box 1506 High Point NC 27261 220 Century Boulevard Kernersville NC 27284 Forsyth (336)996-0900 Robert Osayande Asemota 080457 MHL-034-200 Robert Osayande Asemota 04-Jan-06 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY OSA Assessment & Counseling Services PO Box 1506 High Point NC 27261 220 Century Boulevard Kernersville NC 27284 Forsyth (336)996-0900 Robert Osayande Asemota 990812 MHL-078-119 Robeson County Criminal Justice Partnership 17-Aug-99 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Robeson County Offender Resource Center 120 West Sixth Street Lumberton NC 28358 120 West Sixth Street Lumberton NC 28358 Robeson (910)737-5022 Robeson County Offender Resource Center 000125 MHL-078-127 Robeson Health Care Corporation 15-Feb-00 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Robeson Health Care Corp/Maxton Medical Center 60 Commerce Plaza Pembroke NC 28372 610 E. MLK Jr. Drive Maxton NC 28364 Robeson (910)844-5253 RHCC 000125 MHL-078-127 Robeson Health Care Corporation 15-Feb-00 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Robeson Health Care Corp/Maxton Medical Center 60 Commerce Plaza Pembroke NC 28372 610 E. MLK Jr. Drive Maxton NC 28364 Robeson (910)844-5253 RHCC 010692 MHL-063-055 Robeson Health Care Corporation 21-Aug-01 01-Jan-13 31-Dec-13 Type B 24-Jan-11 - - 0 27G.3700 Day Treatment for SA A SAS DAY Crystal Lake Casaworks & Maternal Program P.O. Box 190 Lakeview NC 28350 285 Camp Easter Road Lakeview NC 28350 Moore (910)245-4339 010692 MHL-063-055 Robeson Health Care Corporation 21-Aug-01 01-Jan-13 31-Dec-13 Type B 24-Jan-11 - - 39 27G.4100 Therapeutic Homes for Individuals With SA Disorders And ADOL&A SAS RESIDENTL Crystal Lake Casaworks & Maternal Program P.O. Box 190 Lakeview NC 28350 285 Camp Easter Road Lakeview NC 28350 Moore (910)245-4339 010692 MHL-063-055 Robeson Health Care Corporation 21-Aug-01 01-Jan-13 31-Dec-13 Type B 24-Jan-11 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Crystal Lake Casaworks & Maternal Program P.O. Box 190 Lakeview NC 28350 285 Camp Easter Road Lakeview NC 28350 Moore (910)245-4339 010692 MHL-063-055 Robeson Health Care Corporation 21-Aug-01 01-Jan-13 31-Dec-13 Type B 24-Jan-11 - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Crystal Lake Casaworks & Maternal Program P.O. Box 190 Lakeview NC 28350 285 Camp Easter Road Lakeview NC 28350 Moore (910)245-4339 010989 MHL-074-117 Robeson Health Care Corporation 24-Aug-01 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY The Village 108 Units E&F West Firetower Road Winterville NC 28590 108 Units E&F West Firetower Road Winterville NC 28590 Pitt (252)752-5555 RHCC The Village 944512 MHL-078-063 Robeson Health Care Corporation 18-Feb-94 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Robeson Health Care Corp./S. Robeson Medical Clinic 60 Commerce Plaza Pembroke NC 28372 1212 South Walnut Street Fairmont NC 28340 Robeson (910)628-6711 Robeson Health Care Corporation 944512 MHL-078-063 Robeson Health Care Corporation 18-Feb-94 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Robeson Health Care Corp./S. Robeson Medical Clinic 60 Commerce Plaza Pembroke NC 28372 1212 South Walnut Street Fairmont NC 28340 Robeson (910)628-6711 Robeson Health Care Corporation 944512 MHL-078-063 Robeson Health Care Corporation 18-Feb-94 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Robeson Health Care Corp./S. Robeson Medical Clinic 60 Commerce Plaza Pembroke NC 28372 1212 South Walnut Street Fairmont NC 28340 Robeson (910)628-6711 Robeson Health Care Corporation 944513 MHL-078-064 Robeson Health Care Corporation 18-Feb-94 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Robeson Health Care Corp./Julian T. Pierce Health Ctr. 60 Commerce Plaza Pembroke NC 28372 307 East Wardell Drive Pembroke NC 28372 Robeson (910)521-2816 Julian Pierce Health Center 944513 MHL-078-064 Robeson Health Care Corporation 18-Feb-94 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Robeson Health Care Corp./Julian T. Pierce Health Ctr. 60 Commerce Plaza Pembroke NC 28372 307 East Wardell Drive Pembroke NC 28372 Robeson (910)521-2816 Julian Pierce Health Center 050671 MHL-074-086 Robeson Health Care Corporation 06-Aug-99 01-Jan-13 31-Dec-13 Type A 22-Jun-12 - - 17 27G.4100 Therapeutic Homes for Individuals With SA Disorders And C&ADOL&A SAS RESIDENTL The Village II 108 Fire Tower Road Unit E and F Winterville NC 28590 3354/3362 Front Gate Drive(various suites) Greenville NC 27834 Pitt (252)752-5555 The Village 050687 MHL-051-150 Robeson Health Care Corporation 13-Jan-06 01-Jan-13 31-Dec-13 Type A 01-Nov-10 - - 13 27G.4100 Therapeutic Homes for Individuals With SA Disorders And C&A SAS RESIDENTL RHCC Cambridge Place Casaworks & Perinatal 109 Cambridge Place Smithfield NC 27577 Cambridge Place - various suites Smithfield NC 27577 Johnston (919)989-8114 RHCC/Cambridge Place 080765 MHL-074-194 Robeson Health Care Corporation 02-Nov-06 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY The Village II 108 West Fire Tower Road Unit E & F Winterville NC 28590 "3362 Apt. 11, Front Gate Drive" Greenville NC 27834 Pitt (252)752-5555 Robeson Health Care Corporation 080765 MHL-074-194 Robeson Health Care Corporation 02-Nov-06 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY The Village II 108 West Fire Tower Road Unit E & F Winterville NC 28590 "3362 Apt. 11, Front Gate Drive" Greenville NC 27834 Pitt (252)752-5555 Robeson Health Care Corporation 050688 MHL-051-172 Robeson Health Care Corporation 25-Oct-07 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY RHCC Cambridge Place Casaworks & Perinatal 109 Cambridge Place Smithfield NC 27577 109 Cambridge Place Smithfield NC 27577 Johnston (919)989-8114 RHCC Cambridge Place 050688 MHL-051-172 Robeson Health Care Corporation 25-Oct-07 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY RHCC Cambridge Place Casaworks & Perinatal 109 Cambridge Place Smithfield NC 27577 109 Cambridge Place Smithfield NC 27577 Johnston (919)989-8114 RHCC Cambridge Place 080262 MHL-078-283 Robeson Health Care Corporation 14-Jul-11 01-Jan-13 31-Dec-13 Type B 11-Jan-13 - - 9 27G.5600E Supervised Living SA Adult A SAS RESIDENTL RHCC Recovery Home 60 Commerce Plaza Pembroke NC 28372 661 Burns Road Lumberton NC 28358 Robeson (910)738-5545 Robeson Health Care Corp. 120122 MHL-078-297 Robeson Health Care Corporation 04-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Lumberton Health Center Outpatient Services 60 Commerce Plaza Pembroke NC 28372 600 West 5th Street Lumberton NC 28358 Robeson (910)738-5204 Robeson Health Care Corporation 120122 MHL-078-297 Robeson Health Care Corporation 04-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Lumberton Health Center Outpatient Services 60 Commerce Plaza Pembroke NC 28372 600 West 5th Street Lumberton NC 28358 Robeson (910)738-5204 Robeson Health Care Corporation 090423 MHL-078-045 Robeson Health Care Corporation 01-Aug-91 01-Jan-13 31-Dec-13 - - - - 12 27G.4100 Therapeutic Homes for Individuals With SA Disorders And C&A SAS RESIDENTL Our House 309-B E. Wardell Drive Pembroke NC 28372 309-B E. Wardell Drive Pembroke NC 28372 Robeson (910)521-1464 Robeson Health Care Corporation 120568 MHL-078-062 Robeson Health Care Corporation 18-Feb-94 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Robeson Health Care Corp./Our House 2nd Step Bldg. 309-A E. Wardell Drive Pembroke NC 28372 309-A E. Wardell Drive Pembroke NC 28372 Robeson (910)521-1464 Robeson Health Care Corporation 120568 MHL-078-062 Robeson Health Care Corporation 18-Feb-94 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Robeson Health Care Corp./Our House 2nd Step Bldg. 309-A E. Wardell Drive Pembroke NC 28372 309-A E. Wardell Drive Pembroke NC 28372 Robeson (910)521-1464 Robeson Health Care Corporation 080020 MHL-032-445 Robin A. Williams 22-May-08 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Fayetteville Street Community Living Home 2708 Fayetteville Street Durham NC 27707 2708 Fayetteville Street Durham NC 27707 Durham (919)237-3343 Robin A. Williams 040775 MHL-049-098 "Rockwell Development Center, Inc." 29-Nov-04 01-Jan-13 31-Dec-13 Type A 29-Sep-11 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Stickney House 120 Rockwell Loop Mooresville NC 28115 120 Rockwell Loop Mooresville NC 28115 Iredell (704)987-2096 "Rockwell Development Center, Inc." 040776 MHL-049-099 "Rockwell Development Center, Inc." 29-Nov-04 01-Jan-13 31-Dec-13 Type B 29-Feb-08 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Whalen House 122 Rockwell Loop Mooresville NC 28115 122 Rockwell Loop Mooresville NC 28115 Iredell (704)987-2096 "Rockwell Development Center, Inc." 090281 MHL-049-123 "Rockwell Development Center, Inc." 07-May-10 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Helms House 122 Rockwell Loop Mooresville NC 28115 611 Presbyterian Road Mooresville NC 28115 Iredell (704)987-2096 "Rockwell Development Center, Inc." 080332 MHL-064-089 "Rocky Mount Treatment Center, LLC" 05-Aug-08 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Rocky Mount Treatment Center 1112 Silver Oaks Court Raleigh NC 27614 104 Zebulon Court Rocky Mount NC 27804 Nash (252)972-4357 "Rocky Mount Treatment Center, LLC" 060032 MHL-041-775 Romulus Watlington 13-Mar-06 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Watlington's Family Care #4 1402 Hyalyn Court Greensboro NC 27406 1402 Hyalyn Court Greensboro NC 27406 Guilford (336)676-4473 980010 MHL-092-299 Rosa Marie Wilkins 15-Dec-97 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Wilkins Home PO Box 235 Zebulon NC 27597 1517 Parks Village Road Zebulon NC 27597 Wake (919)269-0918 Wilkins Home 060094 MHL-032-371 "Rose's Castle Residential Services, Inc." 08-Jun-06 01-Jan-13 31-Dec-13 Type A 27-Jul-12 - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Rose's Castle Residential Services Inc. 505 Cook Road Durham NC 27713 505 Cook Road Durham NC 27713 Durham (919)680-4637 041588 MHL-082-056 Roslina Teel 02-Dec-05 01-Jan-13 31-Dec-13 Type B 02-Dec-09 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Candii Homes 513 Raleigh Road Suite D Clinton NC 28328 404 East Powell Street Clinton NC 28328 Sampson (910)592-7451 Rosalina Teel 955468 MHL-079-108 "Rouse's Group Home II, Inc." 14-Jun-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Madison Place PO Box 327 Stoneville NC 27048 626 South Madison Street Eden NC 27288 Rockingham (336)427-0609 "Rouses Group Home II, Inc." 955442 MHL-079-109 "Rouse's Group Home II, Inc." 14-Jun-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Academy Place PO Box 327 Stoneville NC 27048 1216 West Academy Street Madison NC 27025 Rockingham (336)427-3051 "Rouse's Group Home II, Inc." 920011 MHL-079-110 "Rouse's Group Home II, Inc." 14-Jun-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Brentwood Manor PO Box 327 Stoneville NC 27048 185 Brentwood Drive Reidsville NC 27320 Rockingham (336)427-0609 "Rouse's Group Home II, Inc." 920010 MHL-079-111 "Rouse's Group Home II, Inc." 14-Jun-10 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Eugene Drive PO Box 327 Stoneville NC 27048 601 Eugene Street Reidsville NC 27320 Rockingham (336)342-4761 "Rouse's Group Home II, Inc." 956253 MHL-079-112 "Rouse's Group Home II, Inc." 14-Jun-10 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Woodland Place PO Box 327 Stoneville NC 27048 1307 Woodland Drive Reidsville NC 27320 Rockingham (336)427-0609 "Rouse's Group Home II, Inc." 956252 MHL-079-113 "Rouse's Group Home II, Inc." 14-Jun-10 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Church Street PO Box 327 Stoneville NC 27048 908 Church Street Eden NC 27288 Rockingham (336)427-0609 "Rouse's Group Home II, Inc." 040136 MHL-001-216 "Rouse's Group Home II, Inc." 01-Jun-11 01-Jan-13 31-Dec-13 Type A 18-Nov-11 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Richmond Place P.O. Box 327 Stoneville NC 27048 1425 Vaughn Road Burlington NC 27217 Alamance (336)261-3092 "Rouse's Group Home II, Inc." 971239 MHL-079-118 "Rouse's Group Home II, Inc." 01-Jun-11 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Westerly Park Home P.O. Box 327 Stoneville NC 27048 229 Cedar Street Eden NC 27288 Rockingham (336)623-5899 "Rouse's Group Home II, Inc." 922506 MHL-079-004 "Rouse's Group Home, Inc." 01-Jul-86 01-Jan-13 31-Dec-13 - - - - 30 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Rouse's Group Homes P. O. Box 16 Stoneville NC 27048 5949 NC 135 Stoneville NC 27048 Rockingham (336)427-0609 960838 MHL-079-047 "Rouse's Group Home, Inc." 20-Nov-97 01-Jan-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services A MR/DD DAYRESL ICF Rouse's Group Home #6 P. O. Box 16 Stoneville NC 27048 5820 NC Highway 135 Stoneville NC 27048 Rockingham (336)427-0609 "Rouse's Group Homes, Inc." 960838 MHL-079-047 "Rouse's Group Home, Inc." 20-Nov-97 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Rouse's Group Home #6 P. O. Box 16 Stoneville NC 27048 5820 NC Highway 135 Stoneville NC 27048 Rockingham (336)427-0609 "Rouse's Group Homes, Inc." 960838 MHL-079-047 "Rouse's Group Home, Inc." 20-Nov-97 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL ICF Rouse's Group Home #6 P. O. Box 16 Stoneville NC 27048 5820 NC Highway 135 Stoneville NC 27048 Rockingham (336)427-0609 "Rouse's Group Homes, Inc." 990245 MHL-079-053 "Rouse's Group Home, Inc." 04-Mar-99 01-Jan-13 31-Dec-13 Type A 23-Jan-09 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Cedar Place P.O. Box 16 Stoneville NC 27048 1103 Center Church Road Eden NC 27288 Rockingham (336)627-8111 "Rouse's Group Homes, Inc." 090235 MHL-080-176 "Rowan Vocational Opportunities, Inc." 28-Apr-09 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MD DAY Rowan Vocational Opportunities 2728 Old Concord Road Salisbury NC 28146 2728 Old Concord Road Salisbury NC 28146 Rowan (704)633-6223 "Rowan Vocational Opportunities, Inc." 090235 MHL-080-176 "Rowan Vocational Opportunities, Inc." 28-Apr-09 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Rowan Vocational Opportunities 2728 Old Concord Road Salisbury NC 28146 2728 Old Concord Road Salisbury NC 28146 Rowan (704)633-6223 "Rowan Vocational Opportunities, Inc." 100962 MHL-013-158 "Rowan Vocational Opportunities, Inc." 20-Oct-10 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Cabarrus Vocational Opportunities 2728 Old Concord Road Salisbury NC 28146 107 Commercial Park Drive Concord NC 28027 Cabarrus (704)793-1314 "Rowan Vocational Opportunities, Inc." 100962 MHL-013-158 "Rowan Vocational Opportunities, Inc." 20-Oct-10 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Cabarrus Vocational Opportunities 2728 Old Concord Road Salisbury NC 28146 107 Commercial Park Drive Concord NC 28027 Cabarrus (704)793-1314 "Rowan Vocational Opportunities, Inc." 010081 MHL-076-108 "Russell House, LLC" 05-Apr-12 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Russell House, LLC" 1808 Pinecrest Street Burlington NC 27215 1691 Old Buffalo Ford Road Asheboro NC 27205 Randolph (336)672-0169 101026 MHL-041-842 Russell Morgan 22-Aug-07 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY The Shoppe by MSS 500 Spring Garden Street Greensboro NC 27401 "500 Spring Garden Street, Suite A & B" Greensboro NC 27401 Guilford (336)323-2870 Russell Morgan 060391 MHL-081-065 "Rutherford Life Services, Inc." 18-Jul-06 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs NONE NONE DAY Rutherford Life Services 230 Fairground Rd Spindale NC 28160 230 Fairground Rd Spindale NC 28160 Rutherford (828)286-4352 060391 MHL-081-065 "Rutherford Life Services, Inc." 18-Jul-06 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity NONE NONE DAY Rutherford Life Services 230 Fairground Rd Spindale NC 28160 230 Fairground Rd Spindale NC 28160 Rutherford (828)286-4352 110871 MHL-079-122 Ruths Cove 26-Apr-12 01-Jan-13 31-Dec-13 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Ruths Cove PO Box 393 Reidsville NC 27320 155 Cook Florist Road Reidsville NC 27320 Rockingham (336)520-4024 120275 MHL-080-195 "S & H Youth and Adult Services, Inc." 14-Jan-13 14-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY S&H Youth and Adult Alcohol and Drug Treatment Services 2002 Mission Oaks Street Kannapolis NC 28083 "909 South Main Street, Suite 208" Salisbury NC 28144 Rowan (704)603-8285 "S & H Youth and Adult Services, Inc." 010655 MHL-026-689 S&T We Care 30-Apr-02 01-Jan-13 31-Dec-13 Type A 28-Oct-09 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL LUV-N-ARMS PO Box 25112 Fayetteville NC 28314 6777 Candlewood Drive Fayetteville NC 28314 Cumberland (910)868-2061 Sheryl Maxwell 080006 MHL-032-435 "S. Martin, LLC" 03-Apr-08 01-Jan-13 31-Dec-13 Type A 16-Oct-12 - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Inner Wealth Residential 209 Kindlewood Drive Durham NC 27703 2 Isaacs Way Durham NC 27713 Durham (919)201-1626 Shannon & Steve Martin 120652 MHL-096-250 "S.T.A.N.D...ING, Inc." 27-Dec-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "S.T.A.N.D...ING, Inc." PO Box 981 Pikeville NC 27863 206 South Goldsboro Street Pikeville NC 27863 Wayne (252)347-4057 "S.T.A.N.D...ing, Inc." 120652 MHL-096-250 "S.T.A.N.D...ING, Inc." 27-Dec-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "S.T.A.N.D...ING, Inc." PO Box 981 Pikeville NC 27863 206 South Goldsboro Street Pikeville NC 27863 Wayne (252)347-4057 "S.T.A.N.D...ing, Inc." 120465 MHL-060-1143 "S.T.E.P's Developmental Academy, Inc." 26-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY S.T.E.P's Developmental Day Academy PO Box 2007 Indian Trail NC 28079 2422 North Tryon Street Charlotte NC 28206 Mecklenburg (704)337-2194 "S.T.E.P's Developmental Academy, Inc." 041164 MHL-060-1228 "S.T.E.P's Developmental Academy, Inc." 01-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY S.T.E.P's to Self-Determination P O Box 2007 Indian Trail NC 28079 3145 Driftwood Drive Charlotte NC 28205 Mecklenburg (704)537-3330 "S.T.E.P's Developmental Day Academy , Inc." 110735 MHL-060-1163 "S.T.E.P's Developmental Academy, Inc." 22-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY S.T.E.P's to Sobriety PO Box 2007 Indian Trail NC 28079 "4822 Albemarle Road, Suite 200" Charlotte NC 28205 Mecklenburg (704)532-5757 "S.T.E.P.'S Developmental Academy, Inc." 101081 MHL-033-103 S.W.I.M. Network (Single Women In Mission) 15-Jun-11 30-Jan-13 31-Dec-13 - - - - 6 27G.5600E Supervised Living SA Adult A SAS RESIDENTL SWIM's Recovery Center PO Box 1314 Rocky Mount NC 27802 403 Atlantic Avenue Rocky Mount NC 27801 Edgecombe (252)972-7946 S.W.I.M. Network (Single Women In Mission) 110546 MHL-092-855 "SBH Raleigh, LLC" 17-Oct-12 01-Jan-13 31-Dec-13 - - - - 36 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Strategic Behavioral Center 3200 Waterfield Drive Garner NC 27529 3200 Waterfield Drive Garner NC 27529 Wake (919)573-4999 "SBH Raleigh, LLC" 070538 MHL-010-066 "SBH Wilmington, LLC" 28-Oct-08 01-Jan-13 31-Dec-13 Type B 19-Mar-13 - - 72 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Strategic Behavioral Center 2050 Mercantile Drive Leland NC 28451 2050 Mercantile Drive Leland NC 28451 Brunswick (910)371-2500 SBC Wilmington LLC 942936 MHL-060-1258 "SBH-Charlotte, LLC" 29-Jan-13 29-Jan-13 31-Dec-13 - - - - 12 27G.1900 PRTF - Psychiatric Residential Treatment Facility C&ADOL MI RESIDENTL Strategic Behavioral Center-Charlotte 1715 Sharon Road West Charlotte NC 28210 1715 Sharon Road West Charlotte NC 28210 Mecklenburg (704)554-9874 "SBH-Charlotte, LLC" 020466 MHL-059-032 "SUWS of the Carolina's, Inc." 06-May-02 01-Jan-13 31-Dec-13 - - - - 133 27G.5200 Residential Therapeutic (Habilitative) Camps C&ADOL MI RESIDENTL "SUWS of the Carolina's, Inc." 363 Graphite Road Old Fort NC 28762 363 Graphite Road Old Fort NC 28762 McDowell (828)668-7590 100710 MHL-060-1231 "Safehaven Family Service, LLC" 17-Nov-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Safehaven Family Service 7950 Nation Ford Road Suite C-1 Charlotte NC 28217 "7950 Nations Ford Road, Suite C-1" Charlotte NC 28217 Mecklenburg (704)900-0938 "Safehaven Family Service, LLC" 100710 MHL-060-1231 "Safehaven Family Service, LLC" 17-Nov-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Safehaven Family Service 7950 Nation Ford Road Suite C-1 Charlotte NC 28217 "7950 Nations Ford Road, Suite C-1" Charlotte NC 28217 Mecklenburg (704)900-0938 "Safehaven Family Service, LLC" 922531 MHL-077-001 Samaritan Colony 01-Dec-84 01-Jan-13 31-Dec-13 - - - - 12 27G.3400 Residential Treatment/Rehabilitation A SAS RESIDENTL Samaritan Colony 136 Samaritan Drive Rockingham NC 28379 136 Samaritan Drive Rockingham NC 28379 Richmond (910)895-3243 922531 MHL-077-001 Samaritan Colony 01-Dec-84 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Samaritan Colony 136 Samaritan Drive Rockingham NC 28379 136 Samaritan Drive Rockingham NC 28379 Richmond (910)895-3243 011324 MHL-041-632 Sanctuary House 28-Feb-02 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Sanctuary House PO Box 21141 Greensboro NC 27420-1141 518 North Elm Street Greensboro NC 27401 Guilford (336)275-7896 100638 MHL-077-063 Sandhills Alternative Academy LLC 07-Jul-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment ADOL MI DAY "Sandhills Alternative Academy, LLC" PO Box 1192 Hamlet NC 28345-1192 121 Pine Needle Lane Hamlet NC 28345-8803 Richmond (910)582-4766 "Sandhills Alternative Academy, LLC" 100638 MHL-077-063 Sandhills Alternative Academy LLC 07-Jul-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Sandhills Alternative Academy, LLC" PO Box 1192 Hamlet NC 28345-1192 121 Pine Needle Lane Hamlet NC 28345-8803 Richmond (910)582-4766 "Sandhills Alternative Academy, LLC" 120353 MHL-083-056 "Sandhills Behavioral Center, Inc." 19-Jul-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Sandhills Behavioral Center, Inc." PO Box 254 Raeford NC 28376 124 Cronly Street Laurinburg NC 28352 Scotland (910)266-0092 120353 MHL-083-056 "Sandhills Behavioral Center, Inc." 19-Jul-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "Sandhills Behavioral Center, Inc." PO Box 254 Raeford NC 28376 124 Cronly Street Laurinburg NC 28352 Scotland (910)266-0092 120554 MHL-047-141 "Sandhills Behavioral Center, Inc." 03-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Sandhills Behavioral Center, Inc." PO Box 254 Raeford NC 28376 402 Harris Avenue Raeford NC 28376 Hoke (910)848-1638 120554 MHL-047-141 "Sandhills Behavioral Center, Inc." 03-Mar-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Sandhills Behavioral Center, Inc." PO Box 254 Raeford NC 28376 402 Harris Avenue Raeford NC 28376 Hoke (910)848-1638 120503 MHL-004-035 "Sandhills Behavioral Center, Inc." 06-Sep-12 01-Mar-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Sandhills Behavioral Center, Inc." PO Box 254 Raeford NC 28376 146 Stanback Ferry Ice Plant Road Wadesboro NC 28170 Anson (704)694-4915 120503 MHL-004-035 "Sandhills Behavioral Center, Inc." 06-Sep-12 01-Mar-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "Sandhills Behavioral Center, Inc." PO Box 254 Raeford NC 28376 146 Stanback Ferry Ice Plant Road Wadesboro NC 28170 Anson (704)694-4915 130068 MHL-034-306 "Sandhills Behavioral Center, Inc." 18-Apr-13 18-Apr-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Sandhills Behavioral Center PO Box 254 Raeford NC 28376 "3410 Healy Drive, Suite 111" Winston-Salem NC 27103 Forsyth (336)448-1322 "Sandhills Behavioral Center, Inc." 130068 MHL-034-306 "Sandhills Behavioral Center, Inc." 18-Apr-13 18-Apr-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Sandhills Behavioral Center PO Box 254 Raeford NC 28376 "3410 Healy Drive, Suite 111" Winston-Salem NC 27103 Forsyth (336)448-1322 "Sandhills Behavioral Center, Inc." 040325 MHL-053-044 "Sanford Treatment Center, LLC" 03-May-04 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone NONE SAS DAY "Sanford Treatment Center, LLC" 1112 Silver Oaks Court Raleigh NC 27614 2910 Industrial Drive Sanford NC 27332 Lee (919)776-0711 080063 MHL-092-738 Sarah W. Atkinson 04-Feb-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Rebecca's Home 4001 Lehigh Court Raleigh NC 27609 4001 Lehigh Court Raleigh NC 27609 Wake (919)872-8262 Sarah W. Atkinson 110430 MHL-051-173 Savin Grace LLC 30-Jan-09 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Savin Grace II 1112 Hadel Place Knightdale NC 27545 562 Old Dam Road Selma NC 27576 Johnston (919)351-0465 Savin Grace LLC 110279 MHL-051-187 "Savin Grace, LLC" 23-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Savin Grace, LLC" 1112 Hadel Place Knightdale NC 27545 115 North Third Street Smithfield NC 27577 Johnston (919)779-6595 090056 MHL-006-016 "Schools for Children, Inc." 09-Apr-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Grandfather Professional Services for Children PO BOX 98 Banner Elk NC 28604 64 Hickory Nut Gap Road Banner Elk NC 28604 Avery (828)898-3868 Schools for Children 090215 MHL-064-101 "Second Chance Recovery, Inc." 26-May-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Second Chance Recovery, Inc." 203 S. Grace Street Rocky Mount NC 27804 203 Grace Street Rocky Mount NC 27804-5604 Nash (252)442-0100 Marion Frazier 070662 MHL-056-024 "Second Nature Blue Ridge Carolina, LLC" 11-Jul-11 01-Jan-13 31-Dec-13 - - - - 20 27G.5200 Residential Therapeutic (Habilitative) Camps C&ADOL MI RESIDENTL Second Nature Blue Ridge Carolina PO Box 809 Clayton GA 30525 16 Swiss Village Road Otto NC 28763 Macon (828)349-4581 "Second Nature Blue Ridge Carolina, LLC" 120446 MHL-032-428 "Securing Resources for Consumer, Inc." 18-Feb-08 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Reaching Our Potential Everyday 3711-C University Drive Durham NC 27707 3205 Old Chapel Hill Road Durham NC 27707 Durham (919)405-2736 "Securing Resources for Consumers, Inc." 970212 MHL-032-440 "Securing Resources for Consumers, Inc." 03-Apr-08 01-Jan-13 31-Dec-13 Type A 16-Dec-10 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Securing Resources for Consumers, Inc." "3711 University Drive, Suite C" Durham NC 27707 1809 Collier Drive Durham NC 27707 Durham (919)251-8337 090971 MHL-032-456 "Securing Resources for Consumers, Inc." 18-Aug-08 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Securing Resources for Consumers, Inc. #2" "3711 University Drive, Suite C" Durham NC 27707 10 Meadow Crest Drive Durham NC 27703 Durham (919)251-8532 "Securing Resources for Consumers, Inc." 120146 MHL-036-176 "Self Concepts Clinical Counseling Services, Inc." 26-Sep-01 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Self Concepts Clinical Counseling Services 1371-A East Garrison Blvd. Gastonia NC 28054 1371-A East Garrison Boulevard Gastonia NC 28054 Gaston (704)852-3874 120146 MHL-036-176 "Self Concepts Clinical Counseling Services, Inc." 26-Sep-01 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Self Concepts Clinical Counseling Services 1371-A East Garrison Blvd. Gastonia NC 28054 1371-A East Garrison Boulevard Gastonia NC 28054 Gaston (704)852-3874 110387 MHL-012-129 "Self Determination, LLC" 04-Nov-11 01-Jan-13 31-Dec-13 - - - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Self Direction 113 NC Hwy 126 Morganton NC 28655 113 NC Hwy 126 Morganton NC 28655 Burke (828)433-0465 "Self Determination, LLC" 060211 MHL-074-167 Sellalti Co. Inc. 05-Sep-06 01-Jan-13 31-Dec-13 - - - - 0 27G.3300 Outpatient Detoxification NONE SAS DAY "Greenville Recovery Center, LLC (GRC)" P.O. Box 6030 Winter Park FL 32793 "150 Arlington Boulevard, Suite C" Greenville NC 27858 Pitt (407)467-7175 Sellati & Company 060211 MHL-074-167 Sellalti Co. Inc. 05-Sep-06 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone NONE SAS DAY "Greenville Recovery Center, LLC (GRC)" P.O. Box 6030 Winter Park FL 32793 "150 Arlington Boulevard, Suite C" Greenville NC 27858 Pitt (407)467-7175 Sellati & Company 030191 MHL-092-523 "Sellati & Company, Inc." 25-Feb-03 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone NONE SAS DAY Raleigh Methadone Treatment Center PO Box 6030 Winter Park FL 32793 5109 Oak Park Road Raleigh NC 27612 Wake (919)781-5507 Sellati & Co. Inc. 130076 MHL-078-303 Serenity Behavioral Health Inc. 21-Dec-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Serenity Behavioral Health Inc. 302 N. Main Street Fairmont NC 28340 302 North Main Street Fairmont NC 28340 Robeson (910)628-5655 100031 MHL-041-946 "Serenity Counseling & Resource Center, Inc." 15-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Serenity Counseling & Resource Center, Inc." 606 Brittany Court Gibsonville NC 27249 "4925 West Market Street, Suite 1113/1114" Greensboro NC 27409 Guilford (336)617-3850 "Serenity Counseling & Resource Center, Inc." 100031 MHL-041-946 "Serenity Counseling & Resource Center, Inc." 15-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Serenity Counseling & Resource Center, Inc." 606 Brittany Court Gibsonville NC 27249 "4925 West Market Street, Suite 1113/1114" Greensboro NC 27409 Guilford (336)617-3850 "Serenity Counseling & Resource Center, Inc." 101048 MHL-092-809 "Serenity Home, LLC" 09-Feb-11 01-Jan-13 31-Dec-13 - - - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Serenity Home, LLC" 511 South Bloodworth Street Raleigh NC 27601 511 South Bloodworth Street Raleigh NC 27601 Wake (919)803-5388 030398 MHL-047-148 Serenity Therapeutic Services Incorporated 01-Mar-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Serenity Therapeutic Services #6 PO Box 64136 Fayetteville NC 28306 10147 Rockfish Road Raeford NC 28376 Hoke (910)248-6038 Serenity Therapeutic Services Incorporated 031158 MHL-047-125 "Serenity Therapeutic Services, Inc." 09-Feb-10 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Serenity Therapeutic Services, Inc." PO Box 64136 Fayetteville NC 28306 510 South Main Street Raeford NC 28376 Hoke (910)565-3417 Serenity Residential 020060 MHL-026-890 "Serenity Therapeutic Services, Inc." 27-Apr-10 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Serenity Therapeutic Services #2 PO Box 64136 Fayetteville NC 28306 6213 Rockfish Road Hope Mills NC 28348 Cumberland (910)263-8773 Serenity Theraputic Services 981113 MHL-026-892 "Serenity Therapeutic Services, Inc." 15-May-10 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Serenity Therapeutic Services #3 PO Box 64136 Fayetteville NC 28306 118 Shadsford Boulevard Fayetteville NC 28314 Cumberland (910)339-2072 020363 MHL-047-135 "Serenity Therapeutic Services, Inc." 01-Jan-11 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Serenity Therapeutic Services Home #5 PO Box 64136 Fayetteville NC 28306 158 Centipede Lane Raeford NC 28376 Hoke (910)565-3892 "Serenity Therapeutic Services, Inc." 030346 MHL-047-136 "Serenity Therapeutic Services, Inc." 01-Jan-11 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Serenity Therapeutic Services Home #4 P.O. Box 64136 Fayetteville NC 28306 332 South Main Street Raeford NC 28376 Hoke (910)683-6072 "Serenity Therapeutic Services, Inc." 120319 MHL-026-919 "Serenity Therapeutic Services, Inc." 12-Apr-11 01-Jan-13 31-Dec-13 Type A 04-Feb-13 - - 0 27G.5400 Day Activity C&ADOL&A MD DAY Serenity Therapeutic Day Support PO Box 64136 Fayetteville NC 28306 541 Bunce Road Fayetteville NC 28306 Cumberland (910)867-9001 "Serenity Therapeutic Services, Inc." 120319 MHL-026-919 "Serenity Therapeutic Services, Inc." 12-Apr-11 01-Jan-13 31-Dec-13 Type A 04-Feb-13 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Serenity Therapeutic Day Support PO Box 64136 Fayetteville NC 28306 541 Bunce Road Fayetteville NC 28306 Cumberland (910)867-9001 "Serenity Therapeutic Services, Inc." 110457 MHL-098-179 Serenity of Wilson Home Care Inc. 30-May-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Serenity of Wilson Home Care 2704 Barrington Drive Wilson NC 27896 4004 Eclipse Way Wilson NC 27893 Wilson (252)674-7294 100093 MHL-041-975 "Servant's Heart, Inc" 01-Jul-10 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Servant's Heart III 532E North Regional Road Greensboro NC 27409 "3317 Horse Pen Creek Road, Apt. 1B" Greensboro NC 27410 Guilford (336)282-5965 "Servant's Heart, Inc." 070625 MHL-041-654 "Servant's Heart, Inc." 13-Oct-02 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A NONE DAY Servant's Heart "532 North Regional Road, Suites E&G" Greensboro NC 27409 "532 North Regional Road, Suites E&G" Greensboro NC 27409 Guilford (336)286-6400 "Servant's Heart, Inc" 050481 MHL-041-773 "Servant's Heart, Inc." 25-Jan-06 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A NONAMB1 RESIDENTL Servant's Heart 532 E North Regional Rd Greensboro NC 27409 1921 New Garden Road K107 Greensboro NC 27410 Guilford (336)282-9025 100936 MHL-041-995 "Servant's Heart, Inc." 01-Dec-10 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Servant's Heart II 532 E North Regional Road Greensboro NC 27409 9 Dunchurch Court Greensboro NC 27455 Guilford (336)286-6400 "Servant's Heart, Inc." 120323 MHL-064-136 "Serving Hands, LLC" 23-Jul-12 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity C&ADOL&A MI DAY "Serving Hands, LLC Day Activity Center" 1159 N. Wesleyan Blvd. Rocky Mount NC 27804 1167 N. Wesleyan Blvd. Rocky Mount NC 27804 Nash (252)972-4300 "Serving Hands, LLC" 021290 MHL-041-1051 Shamarquis D. Horton 10-May-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living ADOL&A MD RESIDENTL Achievement Place 2301 Stanley Road Greensboro NC 27404 2301 Stanley Road Greensboro NC 27407 Guilford (336)294-5016 Shamarquis D. Horton 051242 MHL-041-769 Sharon Altman 22-Dec-05 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A AMB DAY CAP Learning Center 5307 Brekenwood Road Pleasant Garden NC 27313 215-A Webster Road Greensboro NC 27406 Guilford (336)373-0482 Sharon Altman 070541 MHL-079-123 Sharon Elizabeth Adams 25-Jan-13 25-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MD RESIDENTL Directed Path 9789 NC Hwy 700 Pelham NC 27311 1308 East Stadium Drive Eden NC 27288 Rockingham (336)627-3445 Sharon Elizabeth Adams 090378 MHL-042-055 Sharon Marie Lyons 11-Dec-09 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Lyons Angels 804 Aurelian Springs Road Roanoke Rapids NC 27870 804 Aurelian Springs Road Roanoke Rapids NC 27870 Halifax (252)536-0264 Sharon Marie Lyons 120463 MHL-034-303 Sharpe and Williams 28-Feb-13 28-Feb-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Sharpe and Williams #2 2740 New Walkertown Road Winston-Salem NC 27105 4408 Northampton Drive Winston-Salem NC 27105 Forsyth (336)767-8100 "Sharpe and Williams, Inc." 990401 MHL-034-260 Shawn Spencer 21-May-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Independence Group Home 3722 Crosland Road Winston-Salem NC 27106 3722 Crosland Road Winston Salem NC 27106 Forsyth (336)924-0637 Shawn Spencer 921318 MHL-001-081 Sheila C. Smith 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL West Hillcrest DDA Home 925 South Church Street Burlington NC 27215 925 South Church Street Burlington NC 27215 Alamance (336)227-3845 060304 MHL-092-665 Shelia Lamore Baker 12-Dec-06 01-Jan-13 31-Dec-13 Type A 16-Nov-10 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Townes Family Care Home 1909 Tea brook Ct. Raleigh NC 27610 1909 Tea brook Ct. Raleigh NC 27610 Wake (919)231-2205 030210 MHL-041-683 Shelia Patterson 11-Jul-03 01-Jan-13 31-Dec-13 Type B 16-Sep-08 - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Sister's of Loving Care Home 2110 Arbrook Lane High Point NC 27265 2110 Arbrook Lane High Point NC 27265 Guilford (336)884-1438 Sister's of Loving Care 100832 MHL-010-077 Sheri Benya 22-Jul-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Benya AFL 800 Joseph Willetts Drive SE Winnabow NC 28479 800 Joseph Willetts Drive SE Winnabow NC 28479 Brunswick (910)253-6214 Sheri Benya 090540 MHL-064-111 "Shiloh Child and Adolescent Day Treatment Services, LLC" 05-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Shiloh Child and Adolescent Day Treatment Services, LLC" 312 South Franklin Street Rocky Mount NC 27802 312 South Franklin Street Rocky Mount NC 27802 Nash (252)443-3045 "Shiloh Child & Adolescent Day Treatment Srvcs, LLC" 031011 MHL-092-578 Shirley M. Evans 06-Jan-04 01-Jan-13 31-Dec-13 Type B Imposed 25-Aug-09 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Agape of Love 2104 Winnie Place Raleigh NC 27603 2104 Winnie Place Raleigh NC 27603 Wake (919)706-5590 Shirley M. Evans 080661 MHL-043-089 Shirley Spears 09-Jul-12 01-Jan-13 31-Dec-13 - - - - 0 Redemption Alternative Living Center 1011 North McKay Avenue Dunn NC 28334 410 West Edgerton Street Dunn NC 28334 Harnett (910)891-1463 Shirley Spears 080661 MHL-043-089 Shirley Spears 09-Jul-12 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Redemption Alternative Living Center 1011 North McKay Avenue Dunn NC 28334 410 West Edgerton Street Dunn NC 28334 Harnett (910)891-1463 Shirley Spears 100452 MHL-092-788 Showers of Love and Blessings 26-Aug-10 01-Jan-13 31-Dec-13 Type A 09-Dec-11 - - 3 27G.5600F Supervised Living/Alternative Family Living A MR/DD RESIDENTL Showers of Blessings 2621 Garden Knoll Lane Raleigh NC 27614 2621 Garden Knoll Lane Raleigh NC 27614 Wake (919)714-3507 Showers of Blessings 000144 MHL-043-034 "Sierra's Residential Services, Inc." 03-Mar-00 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL "Sierra's Residential Services, Inc." PO Box 655 Lillington NC 27546 292 Sierra Trail Spring Lake NC 28390 Harnett (910)497-2923 Scottie Jeffery VanHook 020748 MHL-043-039 "Sierra's Residential Services, Inc." 21-Oct-02 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Sierra's Residential Services Inc.-Group Home #2 PO Box 655 Lillington NC 27546 21 Lanexa Lane Spring Lake NC 28390 Harnett (910)436-4010 Sierra's Residential Services Inc. 030651 MHL-043-050 "Sierra's Residential Services, Inc." 25-Aug-03 01-Jan-13 31-Dec-13 Type B Imposed 12-Apr-13 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Sierra's Residential Services Group Home III PO Box 655 Lillington NC 27546 665 Lake Ridge Drive Cameron NC 28326 Harnett (919)499-9178 Scottie Van Hook 110158 MHL-043-086 "Sierra's Residential Services, Inc." 24-Jun-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment ADOL MI DAY Sierra's Day Treatment Academy PO Box 655 Lillington NC 27546 1995 US 421 North Lillington NC 27546 Harnett (910)814-4243 "Sierra's Residential Services, Inc." 100415 MHL-092-776 "Sigma Health Services, LLC" 28-May-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Sigma Health Services, LLC" "8368 Six Forks Road, Suite 102/101" Raleigh NC 27615 "8368 Six Forks Road, Suite 102" Raleigh NC 27615 Wake (919)848-9108 James C. Ward 090286 MHL-060-1052 "Simplicity Care, Inc." 04-Apr-08 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Simplicity Care, Inc. #2" "537 West Sugar Creek Rd., Ste 104-A" Charlotte NC 28213 5913 Haddington Drive Charlotte NC 28215 Mecklenburg (704)536-9924 "Simplicity Care, Inc." 100866 MHL-060-1029 "Simplicity Care, Inc." 11-Sep-07 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Simplicity Care, Inc." "537 West Sugar Creek Rd.,Ste.104-A" Charlotte NC 28213 5621 Burleson Drive Charlotte NC 28215 Mecklenburg (704)903-8093 120473 MHL-060-1254 "Simplicity Care, Inc." 14-Nov-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Simplicity Care #3 "537 West Sugar Creek Rd., Ste.104-A" Charlotte NC 28213 5032 Edward Street Charlotte NC 28213 Mecklenburg (704)921-6774 "Simplicity Care, Inc." 130043 MHL-060-1252 "Simplicity Care, Inc." 01-Oct-12 27-Mar-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Simplicity Care #4 "537 W. Sugar Creek Rd., Ste. 104-A" Charlotte NC 28213 5405 Sunfield Drive Charlotte NC 28213 Mecklenburg (704)531-5781 "Simplicity Care, Inc." 120358 MHL-041-1054 Simrun Health Services Inc. 03-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Simrun Health Services Inc. 115 Amiable Loop Cary NC 27519 "2211 West Meadowview Road, Suite 108" Greensboro NC 27407 Guilford (336)285-6790 120358 MHL-041-1054 Simrun Health Services Inc. 03-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Simrun Health Services Inc. 115 Amiable Loop Cary NC 27519 "2211 West Meadowview Road, Suite 108" Greensboro NC 27407 Guilford (336)285-6790 120358 MHL-041-1054 Simrun Health Services Inc. 03-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Simrun Health Services Inc. 115 Amiable Loop Cary NC 27519 "2211 West Meadowview Road, Suite 108" Greensboro NC 27407 Guilford (336)285-6790 120514 MHL-054-169 "Simrun Health Services, Inc." 23-Oct-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Simrun Health Services, Inc." 115 Amiable Loop Cary NC 27519 "1100 Hardee Road, Suite 101-B" Kinston NC 28504 Lenoir (252)347-2711 120514 MHL-054-169 "Simrun Health Services, Inc." 23-Oct-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Simrun Health Services, Inc." 115 Amiable Loop Cary NC 27519 "1100 Hardee Road, Suite 101-B" Kinston NC 28504 Lenoir (252)347-2711 120555 MHL-001-228 "Simrun Health Services, Inc." 13-Mar-13 13-Mar-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation ADOL&A MI DAY "Simrun Health Services, Inc." 1206 Vaughn Rd Burlington NC 27217 1206 Vaughn Road Burlington NC 27217 Alamance (336)570-0104 120555 MHL-001-228 "Simrun Health Services, Inc." 13-Mar-13 13-Mar-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Simrun Health Services, Inc." 1206 Vaughn Rd Burlington NC 27217 1206 Vaughn Road Burlington NC 27217 Alamance (336)570-0104 120555 MHL-001-228 "Simrun Health Services, Inc." 13-Mar-13 13-Mar-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "Simrun Health Services, Inc." 1206 Vaughn Rd Burlington NC 27217 1206 Vaughn Road Burlington NC 27217 Alamance (336)570-0104 100366 MHL-060-1152 "Sims Consulting & Clinical Services, Inc." 01-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Sims Consulting & Clinical Services, Inc." 204 East Innes Street Suite 280 Salisbury NC 28144 16501 D Northcross Drive Huntersville NC 28078 Mecklenburg (704)895-3029 Attn: Arlana Sims 120244 MHL-013-171 "Sims Consulting & Clinical Services, Inc." 03-Jun-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Sims Consulting & Clinical Services, Inc." 119 West Avenue Kannapolis NC 28081 119 West Avenue Kannapolis NC 28081 Cabarrus (704)630-6634 100736 MHL-041-982 "Singleton Care, Inc." 11-Aug-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Singleton Care, Inc." 3940 Fountain Grove Drive High Point NC 27265 "2302 West Meadowview Dr., Suite 115" Greensboro NC 27407 Guilford (336)285-7176 "Singleton Care, Inc." 110781 MHL-041-1028 "Singleton Care, Inc." 07-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Singleton Care, Inc." "1 Centerview Dr., Ste. 307" Greensboro NC 27407 "1 Centerview Drive, Suite 307" Greensboro NC 27407 Guilford (336)285-7176 110781 MHL-041-1028 "Singleton Care, Inc." 07-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "Singleton Care, Inc." "1 Centerview Dr., Ste. 307" Greensboro NC 27407 "1 Centerview Drive, Suite 307" Greensboro NC 27407 Guilford (336)285-7176 100150 MHL-001-208 "Sisterly Love, LLC" 02-Nov-10 01-Jan-13 31-Dec-13 Type A 09-Nov-12 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL "Sisterly Love, LLC" PO Box 3274 Burlington NC 27215 636 Gunn Street Burlington NC 27217 Alamance (336)226-4575 040397 MHL-001-222 "Sisterly Love, LLC" 19-Dec-11 01-Jan-13 31-Dec-13 Type A 14-Mar-13 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL Sisterly Love LLC II P.O. Box 3062 Burlingotn NC 27215 326 Baldwin Road Burlington NC 27215 Alamance (336)228-1576 "Sisterly Love, LLC" 120022 MHL-045-070 "Sixth Avenue Psychiatric Rehabilitation Partners, Inc." 01-Nov-06 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Sixth Avenue West 2110 Woodridge Drive Hendersonville NC 28739 2110 Woodridge Drive Hendersonville NC 28739 Henderson (828)697-1581 "Sixth Avenue Psychiatric Rehabilitation, Inc." 001227 MHL-032-246 "Skill Creations, Inc." 06-Nov-00 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY SCI-Triangle Day Program PO Box 1664 Goldsboro NC 27533-1664 110 South Miami Blvd Durham NC 27703 Durham (919)957-0388 "Skill Creations , Inc." 010878 MHL-096-126 "Skill Creations, Inc." 15-Aug-01 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY SCI-Wayne County Day Program P. O. Box 979 Goldsboro NC 27533-0979 2103 Royal Avenue Goldsboro NC 27533 Wayne (919)731-9783 "Skill Creations, Inc." 010878 MHL-096-126 "Skill Creations, Inc." 15-Aug-01 01-Jan-13 31-Dec-13 - - - - 0 27G.2200 "School Year, Before/After School and Summer DD Services" C&ADOL MD DAY SCI-Wayne County Day Program P. O. Box 979 Goldsboro NC 27533-0979 2103 Royal Avenue Goldsboro NC 27533 Wayne (919)731-9783 "Skill Creations, Inc." 010967 MHL-098-076 "Skill Creations, Inc." 18-Sep-01 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY SCI-Community Services East Day Program PO Box 1664 Goldsboro NC 27533-1664 1716 Martin Luther King Jr. Pkwy Wilson NC 27893 Wilson (252)243-7927 "Skill Creations, Inc." 020023 MHL-096-127 "Skill Creations, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 Type B Imposed 19-May-11 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL SCI-Mar Mac P.O. Box 979 Goldsboro NC 27533-0979 509 Ridge Drive Goldsboro NC 27530 Wayne (919)580-0073 "Skill Creations, Inc." 080306 MHL-012-077 "Skill Creations, Inc." 14-Aug-01 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY SCI Morganton Day Program PO Box 1403 Lenoir NC 28645 115 Stonebridge Drive Morganton NC 28655 Burke (828)437-3814 "Skill Creations, Inc." 080306 MHL-012-077 "Skill Creations, Inc." 14-Aug-01 01-Jan-13 31-Dec-13 - - - - 0 27G.2200 "School Year, Before/After School and Summer DD Services" C&ADOL MD DAY SCI Morganton Day Program PO Box 1403 Lenoir NC 28645 115 Stonebridge Drive Morganton NC 28655 Burke (828)437-3814 "Skill Creations, Inc." 921869 MHL-012-019 "Skill Creations, Inc." 01-Oct-90 01-Jan-13 31-Dec-13 - - - - 3 27G.5100 Community Respite Services C&A MR/DD DAY SCI-Poplar PO Box 1403 Lenior NC 28645 101 Poplar Street Morganton NC 28655 Burke (828)584-2122 SCI-Burke Respite 921869 MHL-012-019 "Skill Creations, Inc." 01-Oct-90 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL SCI-Poplar PO Box 1403 Lenior NC 28645 101 Poplar Street Morganton NC 28655 Burke (828)584-2122 SCI-Burke Respite 922519 MHL-064-012 "Skill Creations, Inc." 01-Apr-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF SCI Nash House I PO Box 1664 Goldsboro NC 27533 1045 Kinchen Drive Rocky Mount NC 27803 Nash (252)442-1055 "Skill Creations, Inc." 922520 MHL-064-013 "Skill Creations, Inc." 01-Apr-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF SCI Nash House II PO Box 1664 Goldsboro NC 27583-1664 3505 Hawthorne Road Rocky Mount NC 27803 Nash (252)443-4383 "Skill Creations, Inc." 922521 MHL-065-028 "Skill Creations, Inc." 01-Dec-90 01-Jan-13 31-Dec-13 - - - - 12 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF SCI-Coastal House I and II PO Box 1664 Goldsboro NC 27533 1972&1974 West Lake Shore Drive Wilmington NC 28401 New Hanover (910)762-7111 "Skill Creations, Inc." 030027 MHL-065-029 "Skill Creations, Inc." 01-Dec-90 01-Jan-13 31-Dec-13 Type B 27-Jul-09 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY SCI Day Program PO Box 1664 Goldsboro NC 27533 3718 Carolina Beach Road Wilmington NC 28401 New Hanover (910)762-7111 "Skill Creations, Inc." 922523 MHL-031-009 "Skill Creations, Inc." 01-Jun-92 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF SCI-Duplin House PO Box 1664 Goldsboro NC 27533-1664 120 Orville Street Warsaw NC 28398 Duplin (910)293-3068 "Skill Creations, Inc." 922524 MHL-074-032 "Skill Creations, Inc." 01-Nov-92 01-Jan-13 31-Dec-13 - - - - 12 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF SCI-East P.O. Box 1664 Goldsboro NC 27533-1664 338 & 348 East Cooper Street Winterville NC 28590 Pitt (252)321-3099 C/O Don Neal 922526 MHL-032-071 "Skill Creations, Inc." 01-Aug-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL ICF SCI-Triangle House I PO Box 1664 Goldsboro NC 27583-1664 1406 Tyonek Drive Durham NC 27703 Durham (919)596-4168 "Skill Creations, Inc." 922527 MHL-032-070 "Skill Creations, Inc." 01-Aug-91 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF SCI-Triangle House II PO Box 1664 Goldsboro NC 27583-1664 1523 Tyonek Drive Durham NC 27703 Durham (919)596-0619 "Skill Creations, Inc." 922584 MHL-096-007 "Skill Creations, Inc." 01-Apr-90 01-Jan-13 31-Dec-13 - - - - 15 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF Skill Creations P.O. Box 1664 Goldsboro NC 27533-1664 2101 Royall Ave Goldsboro NC 27534 Wayne (919)736-7471 Attn: Don Neal - Skill Creations 922587 MHL-074-012 "Skill Creations, Inc." 01-Apr-88 01-Jan-13 31-Dec-13 - - - - 15 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Skill Creations of Greenville PO Box 1664 Goldsboro NC 27533-1664 2701 West Fifth Street Greenville NC 27835 Pitt (252)752-8869 "Skill Creations, Inc." 922588 MHL-031-004 "Skill Creations, Inc." 01-Jun-87 01-Jan-13 31-Dec-13 - - - - 15 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF Skill Creations of Kenansville PO Box 1664 Goldsboro NC 27533-1664 200 South Stokes Street Kenansville NC 28349 Duplin (910)296-0078 "Skill Creations, Inc." 922589 MHL-054-010 "Skill Creations, Inc." 01-Sep-87 01-Jan-13 31-Dec-13 - - - - 15 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF Skill Creations of Kinston PO Box 1664 Goldsboro NC 27533-1664 901 Doctors Drive Kinston NC 28503 Lenoir (252)522-1738 "Skill Creations, Inc." 922592 MHL-033-008 "Skill Creations, Inc." 01-Jan-88 01-Jan-13 31-Dec-13 - - - - 15 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF Skill Creations of Tarboro P.O. Box 1664 Goldsboro NC 27533-1664 811 Western Boulevard Tarboro NC 27886 Edgecombe (252)641-1141 Don Neal 922593 MHL-098-005 "Skill Creations, Inc." 01-Nov-91 01-Jan-13 31-Dec-13 - - - - 15 27G.2100 Specialized Community Residential Center A NONAMB2 RESIDENTL ICF Skill Creations of Wilson P.O. Box 1664 Goldsboro NC 27533-1664 "2000 Martin Luther King, Jr. Parkway" Wilson NC 27893 Wilson (252)291-9700 942586 MHL-082-003 "Skill Creations, Inc." 01-Jul-86 01-Jan-13 31-Dec-13 - - - - 15 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Skill Creations of Clinton P.O. Box 1664 Goldsboro NC 27533-1664 223 Forest Trail Drive Clinton NC 28328 Sampson (910)592-0110 942591 MHL-053-001 "Skill Creations, Inc." 01-Jan-87 01-Jan-13 31-Dec-13 - - - - 15 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Skill Creations of Sanford PO Box 1664 Goldsboro NC 27533-1664 1751 Hawkins Avenue Sanford NC 27330 Lee (919)775-5622 "Skill Creations, Inc." 944538 MHL-096-034 "Skill Creations, Inc." 29-Dec-93 01-Jan-13 31-Dec-13 Type B 03-May-11 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL SCI-Mt. Olive P.O. Box 979 Goldsboro NC 27533-0979 600 West John Street Mt. Olive NC 28365 Wayne (919)658-8815 "Skill Creations, Inc" 944940 MHL-042-015 "Skill Creations, Inc." 03-Aug-93 01-Jan-13 31-Dec-13 - - - - 12 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF SCI-Roanoke House PO Box 1664 Goldsboro NC 27533-1664 103&105 Clearfield Drive Roanoke Rapids NC 27870 Halifax (252)308-0900 "Skill Creations, Inc." 945122 MHL-042-016 "Skill Creations, Inc." 08-Sep-94 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Roanoke House Day P.O. Box 1644 Goldsboro NC 27533 533 Becker Drive Roanoke Rapids NC 27870 Halifax (252)535-1193 "Skill Creations, Inc." 945124 MHL-033-012 "Skill Creations, Inc." 15-Apr-94 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY SCI-Pinetops Day Program PO Box 979 Goldsboro NC 27533-0979 310 South First Street Pinetops NC 27864 Edgecombe (252)827-2024 SCI Pinetops Day Prog. 970237 MHL-096-062 "Skill Creations, Inc." 06-Feb-97 01-Jan-13 31-Dec-13 Type B 28-Nov-11 - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL SCI-Simmons P.O. Box 979 Goldsboro NC 27533-0979 801 Simmons Street Goldsboro NC 27530 Wayne (919)734-1456 "Skill Creations, Inc" 980025 MHL-033-024 "Skill Creations, Inc." 18-Dec-97 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL SCI-Pinetops Group Home P.O. Box 979 Goldsboro NC 27533-0979 310 South First Street Pinetops NC 27864 Edgecombe (252)827-2024 "Skill Creations, Inc." 990057 MHL-031-023 "Skill Creations, Inc." 12-Jan-99 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Southeast Day Program PO Box 1664 Goldsboro NC 27533 101 East Bay Street Warsaw NC 28398 Duplin (919)734-7398 "Skill Creations, Inc." 990357 MHL-074-079 "Skill Creations, Inc." 19-Apr-99 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY SCI-Pitt County Day Program PO Box 1664 Goldsboro NC 27533-1664 600 Country Club Drive Greenville NC 27834 Pitt (252)321-3099 "Skill Creations, Inc." 991024 MHL-012-068 "Skill Creations, Inc." 14-Oct-99 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL SCI-Morganton P.O. Box 1403 Lenoir NC 28645 806 Bethel Road Morganton NC 28655 Burke (828)430-8318 "Skill Creations, Inc." 030672 MHL-014-059 "Skill Creations, Inc." 22-Sep-03 01-Jan-13 31-Dec-13 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C&ADOL NONAMB1 RESIDENTL Forest Hills Facility PO Box 1403 Lenoir NC 28645 2006 Forest Hills Park Road Lenior NC 28645 Caldwell (828)754-1979 Skills Creations Inc. 040055 MHL-018-071 "Skill Creations, Inc." 28-May-04 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL SCI-Vale PO Box 1403 Lenoir NC 28645 6455 Old Shelby Road Vale NC 28168-9588 Catawba (704)462-2181 050726 MHL-012-103 "Skill Creations, Inc." 20-Apr-06 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A NONAMB2 RESIDENTL SCI-Enola PO Box 1403 Lenoir NC 28645 2691 Enola Road Morganton NC 28655 Burke (828)433-6504 SCI-Enola 050727 MHL-018-077 "Skill Creations, Inc." 13-Apr-06 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL MD RESIDENTL SCI - Brookwood PO Box 1403 Lenior NC 28645 3555 Brookwood Drive Maiden NC 28650 Catawba (828)970-7175 "Skill Creations, Inc." 921860 MHL-012-105 "Skill Creations, Inc." 01-Jul-06 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF SCI-Burke ICF/MR Group Home PO Box 1403 Lenoir NC 28645 101 Stephens Drive Morganton NC 28655 Burke (828)438-6243 040791 MHL-098-123 "Skill Creations, Inc." 20-Feb-08 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY SCI Wilson-Forest Hills P. O. Box 979 Goldsboro NC 27533 "2693 Forest Hills Road, Suite E" Wilson NC 27895 Wilson (252)243-4106 "Skill Creations, Inc." 080563 MHL-020-050 "Skill Creations, Inc." 02-Feb-09 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL SCI - Aurora Lane PO Box 1403 Lenoir NC 28645 71 Aurora Lane Murphy NC 28906 Cherokee (828)837-2138 "Skill Creations, Inc." 090095 MHL-012-116 "Skill Creations, Inc." 13-Jul-09 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL SCI - Crestwood PO Box 1403 Lenoir NC 28645 3518 Crestwood Drive Morganton NC 28655 Burke (828)433-8402 "Skill Creations, Inc." 080697 MHL-059-043 "Skill Creations, Inc." 14-Jul-09 01-Jan-13 31-Dec-13 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C&ADOL MD RESIDENTL SCI-Basswood PO Box 1403 Lenoir NC 28645 151 Basswood Drive Nebo NC 28761 McDowell (828)652-3198 "Skill Creations, Inc." 120607 MHL-014-077 "Skill Creations, Inc." 11-Feb-11 17-Apr-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL SCI-Memory Lane PO Box 1403 Lenoir NC 28645 2910 Memory Lane Lenoir NC 28645 Caldwell (828)758-5986 "Skill Creations, Inc." 980388 MHL-093-026 "Smith's Landing, Inc." 03-Apr-98 15-Apr-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Smith's Landing PO Box 476 Norlina NC 27563 611 Division Street Norlina NC 27563 Warren (252)456-2481 980388 MHL-093-026 "Smith's Landing, Inc." 03-Apr-98 15-Apr-13 31-Dec-13 - - - - 1 27G.5100 Community Respite Services A MD RESIDENTL Smith's Landing PO Box 476 Norlina NC 27563 611 Division Street Norlina NC 27563 Warren (252)456-2481 000400 MHL-008-014 "Solid Foundation Facilities, Inc." 15-Jun-00 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL West Creek 224 Ward Road Windsor NC 27983 220-B Ward Road Windsor NC 27983 Bertie (252)794-4610 Solid Foundation Facilities Inc. 070080 MHL-008-018 "Solid Foundation Facilities, Inc." 23-Apr-02 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A AMB DAY Mary Gladys 224 Ward Road Windsor NC 27983 450 US 13-17 South Windsor NC 27983 Bertie (252)794-2386 "Solid Foundation Facilities, Inc." 961028 MHL-008-006 "Solid Foundation Facilities, Inc." 03-Dec-96 01-Jan-13 31-Dec-13 Type A 06-Feb-12 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Farmwood 224 Ward Road Windsor NC 27983 220 Ward Road Windsor NC 27983 Bertie (252)794-4743 961028 MHL-008-006 "Solid Foundation Facilities, Inc." 03-Dec-96 01-Jan-13 31-Dec-13 Type A 06-Feb-12 - - 0 27G.5100 Community Respite Services ADOL&A MD RESIDENTL Farmwood 224 Ward Road Windsor NC 27983 220 Ward Road Windsor NC 27983 Bertie (252)794-4743 020243 MHL-008-007 "Solid Foundation Facilities, Inc." 03-Jul-97 01-Jan-13 31-Dec-13 Type B 27-Mar-12 - - 4 27G.5600A Supervised Living MI Adult A MI RESIDENTL Deacon's Dan's Place 224 Ward Road Windsor NC 27983 222-C Ward Road Windsor NC 27983 Bertie (252)794-9486 "Solid Foundation Facilities, Inc." 990506 MHL-008-012 "Solid Foundation Facilities, Inc." 04-Jun-99 01-Jan-13 31-Dec-13 Type A 13-Sep-06 - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL East Creek 224 Ward Road Windsor NC 27983 222-B Ward Road Windsor NC 27983 Bertie (252)794-3392 970807 MHL-008-045 "Solid Foundation Facilities, Inc." 29-Oct-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hillcrest Place 224 Ward Road Windsor NC 27983 110 Hillcrest Drive Windsor NC 27983 Bertie (252)794-4526 "Rodgers Investments, LLC" 944931 MHL-037-003 "Solid Foundation Facilities, Inc." 01-Mar-11 01-Jan-13 31-Dec-13 Type A 17-Sep-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Gates Taylor 224 Ward Road Windsor NC 27983 259 Taylor Mill Road Eure NC 27935 Gates (252)357-4215 Cynthia Rodgers 922312 MHL-066-023 "Solid Foundation Facilities, Inc." 01-Mar-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Northampton Cherry 224 Ward Road Windsor NC 27983 112 Cherry Street Woodland NC 27897 Northampton (252)587-3276 "Solid Foundation Facilities, Inc." 921968 MHL-046-034 "Solid Foundation Facilities, Inc." 01-Mar-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Hertford East 224 Ward Road Windsor NC 27983 516 East Church Street Ahoskie NC 27910 Hertford (252)332-3515 "Solid Foundation Facilities, Inc." 944482 MHL-008-050 "Solid Foundation Facilities, Inc." 01-Mar-11 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bertie Camden 224 Ward Road Windsor NC 27983 301 West Camden Street Windsor NC 27983 Bertie (252)794-6544 "Solid Foundation Facilities, Inc." 060550 MHL-070-054 "Solid Foundation Facilities, Inc." 18-May-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Emerald Lake 224 Ward Road Windsor NC 27983 "1504 Emerald Lake Circle, Apt. 102" Elizabeth City NC 27909 Pasquotank (252)338-5679 "Solid Foundation Facilities, Inc." 080737 MHL-070-055 "Solid Foundation Facilities, Inc." 18-May-11 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Rosewood Court 224 Ward Road Windsor NC 27983 101 Osprey Court Elizabeth City NC 27909 Pasquotank (252)335-0353 "Solid Foundation Facilities, Inc." 050466 MHL-072-010 "Solid Foundation Facilities, Inc." 18-May-11 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Christian Court 224 Ward Road Windsor NC 27983 126 Christian Court Hertford NC 27944 Perquimans (252)264-2067 "Solid Foundation Facilities, Inc." 110396 MHL-046-026 "Solid Foundation Facilities, Inc." 24-Oct-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization A MI DAY St. Mary's Center 224 Ward Road Windsor NC 27983 1311 & 1313 West 1st Street Ahoskie NC 27910 Hertford (252)209-8932 "Solid Foundation Facilities, Inc." 090772 MHL-046-033 "Solid Foundation Facilities, Inc." 01-Mar-11 15-Mar-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Choanoke Valley 224 Ward Road Windsor NC 27983 1321 West First Street Ahoskie NC 27910 Hertford (252)332-5709 "Solid Foundation Facilities, Inc." 090772 MHL-046-033 "Solid Foundation Facilities, Inc." 01-Mar-11 15-Mar-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Choanoke Valley 224 Ward Road Windsor NC 27983 1321 West First Street Ahoskie NC 27910 Hertford (252)332-5709 "Solid Foundation Facilities, Inc." 090772 MHL-046-033 "Solid Foundation Facilities, Inc." 01-Mar-11 15-Mar-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY Choanoke Valley 224 Ward Road Windsor NC 27983 1321 West First Street Ahoskie NC 27910 Hertford (252)332-5709 "Solid Foundation Facilities, Inc." 060625 MHL-001-218 "Solutions Community Agency, LLC" 18-Aug-11 01-Jan-13 31-Dec-13 - - - - 30 27G.1300 Residential Treatment Level II C MI RESIDENTL Solutions Community Agency LLC/Life Cycles Res. Facil. "236 N. Mebane St., Ste. 101" Burlington NC 27217 1865 NC Hwy 62 N Burlington NC 27215 Alamance (336)227-6010 031219 MHL-001-200 "Solutions Community Support Agency, LLC" 25-Aug-10 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Falcon Lane Residential Facility "236 N. Mebane Street, Suite 123" Burlington NC 27217 115 Falcon Lane Mebane NC 27302 Alamance (919)563-9693 "Solutions Community Support Agency, LLC" 080721 MHL-032-441 Sonja R Hazelwood 08-Apr-08 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL TLC Adult Group Home PO Box 11998 Durham NC 27703 401 Moline Street Durham NC 27707 Durham (919)687-0428 Sonja R. Hazelwood 010077 MHL-026-619 "Sophia B. Pierce & Associates, Inc." 19-Jun-01 01-Jan-13 31-Dec-13 Type A 20-Mar-12 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sunny Acres Group Home PO Box 2813 Fayetteville NC 28302 611 Country Club Drive Fayetteville NC 28301 Cumberland (910)630-6818 Sophia B. Pierce and Associates 932314 MHL-026-125 "Sophia B. Pierce & Associates, Inc." 01-Feb-93 01-Jan-13 31-Dec-13 Type A 11-Jul-08 - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Northside Group Home PO Box 2813 Fayetteville NC 28302 3301 Barksdale Road Fayetteville NC 28301 Cumberland (910)822-4455 "Sophia B. Pierce & Associates, Inc." 970749 MHL-026-299 "Sophia B. Pierce & Associates, Inc." 01-Jul-97 01-Jan-13 31-Dec-13 Type B Imposed 23-Nov-10 - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Stanberry Place PO Box 2813 Fayetteville NC 28302 1909 Stanberry Street Fayetteville NC 28301 Cumberland (910)488-7436 "Sophia B. Pierce & Associates, Inc." 040856 MHL-026-828 "Sophia B. Pierce & Associates, Inc." 25-Sep-06 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Pierce's PSR PO Box 2813 Fayetteville NC 28302 2503 Gary Street Fayetteville NC 28301 Cumberland (910)823-2385 Sophia B. Pierce 080065 MHL-078-204 "Southeastern Behavioral Healthcare Services, Inc." 07-Mar-08 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Southeastern Behavioral Healthcare Services, LLC" PO Box 1004 Lumberton NC 28359-1004 3575 Lackey Street Lumberton NC 28359 Robeson (910)738-7858 Virgil L. Hutchinson 080065 MHL-078-204 "Southeastern Behavioral Healthcare Services, Inc." 07-Mar-08 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Southeastern Behavioral Healthcare Services, LLC" PO Box 1004 Lumberton NC 28359-1004 3575 Lackey Street Lumberton NC 28359 Robeson (910)738-7858 Virgil L. Hutchinson 080065 MHL-078-204 "Southeastern Behavioral Healthcare Services, Inc." 07-Mar-08 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization C&ADOL&A MI DAY "Southeastern Behavioral Healthcare Services, LLC" PO Box 1004 Lumberton NC 28359-1004 3575 Lackey Street Lumberton NC 28359 Robeson (910)738-7858 Virgil L. Hutchinson 050501 MHL-047-151 "Southeastern Behavioral Healthcare Services, LLC" 16-Nov-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization ADOL&A MI DAY "Southeastern Behavioral Healthcare Services, LLC" 310 Harris Avenue Raeford NC 28376 310 Harris Avenue Raeford NC 28376 Hoke (910)848-2267 050501 MHL-047-151 "Southeastern Behavioral Healthcare Services, LLC" 16-Nov-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation ADOL&A MI DAY "Southeastern Behavioral Healthcare Services, LLC" 310 Harris Avenue Raeford NC 28376 310 Harris Avenue Raeford NC 28376 Hoke (910)848-2267 050501 MHL-047-151 "Southeastern Behavioral Healthcare Services, LLC" 16-Nov-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Southeastern Behavioral Healthcare Services, LLC" 310 Harris Avenue Raeford NC 28376 310 Harris Avenue Raeford NC 28376 Hoke (910)848-2267 050501 MHL-047-151 "Southeastern Behavioral Healthcare Services, LLC" 16-Nov-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "Southeastern Behavioral Healthcare Services, LLC" 310 Harris Avenue Raeford NC 28376 310 Harris Avenue Raeford NC 28376 Hoke (910)848-2267 080571 MHL-078-302 "Southeastern Behavioral Healthcare Services, LLC" 16-Nov-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization ADOL&A MI DAY "Southeastern Behavioral Healthcare Services, LLC" 109 West Central St. Maxton NC 28364 109 West Central Street Maxton NC 28364 Robeson (910)844-2267 080571 MHL-078-302 "Southeastern Behavioral Healthcare Services, LLC" 16-Nov-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation ADOL&A MI DAY "Southeastern Behavioral Healthcare Services, LLC" 109 West Central St. Maxton NC 28364 109 West Central Street Maxton NC 28364 Robeson (910)844-2267 080571 MHL-078-302 "Southeastern Behavioral Healthcare Services, LLC" 16-Nov-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Southeastern Behavioral Healthcare Services, LLC" 109 West Central St. Maxton NC 28364 109 West Central Street Maxton NC 28364 Robeson (910)844-2267 080571 MHL-078-302 "Southeastern Behavioral Healthcare Services, LLC" 16-Nov-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY "Southeastern Behavioral Healthcare Services, LLC" 109 West Central St. Maxton NC 28364 109 West Central Street Maxton NC 28364 Robeson (910)844-2267 090335 MHL-092-746 "Southeastern Healthcare of North Carolina, Inc." 23-Jun-09 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Southeastern Healthcare of North Carolina, Inc." PO Box 14144 Raleigh NC 27620 3911 New Bern Avenue Raleigh NC 27610 Wake (919)212-8580 110919 MHL-092-827 "Southeastern Healthcare of North Carolina, Inc." 17-Nov-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY The Enhancement Center - New Bern PO Box 14144 Raleigh NC 27610 2050 New Bern Avenue Raleigh NC 27610 Wake (919)250-3628 "Southeastern Healthcare of North Carolina, Inc." 110918 MHL-051-200 "Southeastern Healthcare of North Carolina, Inc." 22-Nov-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY The Enhancement Center - Clayton 437 S. Moore St. Clayton NC 27520 437 South Moore Street Clayton NC 27520 Johnston (919)359-8168 "Southeastern Healthcare of North Carolina, Inc." 010604 MHL-092-461 "Southlight, Inc." 29-Jun-01 01-Jan-13 31-Dec-13 Type A 18-Mar-09 - - 0 27G.3700 Day Treatment for SA A SAS DAY Kinton Court "3125 Poplarwood Ct., #203" Raleigh NC 27604 301 Sunset Drive Fuquay-Varina NC 27526 Wake (919)557-6967 "Southlight, Inc." 010604 MHL-092-461 "Southlight, Inc." 29-Jun-01 01-Jan-13 31-Dec-13 Type A 18-Mar-09 - - 16 27G.4100 Therapeutic Homes for Individuals With SA Disorders And C&ADOL&A SAS DAY&RESL Kinton Court "3125 Poplarwood Ct., #203" Raleigh NC 27604 301 Sunset Drive Fuquay-Varina NC 27526 Wake (919)557-6967 "Southlight, Inc." 010604 MHL-092-461 "Southlight, Inc." 29-Jun-01 01-Jan-13 31-Dec-13 Type A 18-Mar-09 - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Kinton Court "3125 Poplarwood Ct., #203" Raleigh NC 27604 301 Sunset Drive Fuquay-Varina NC 27526 Wake (919)557-6967 "Southlight, Inc." 010604 MHL-092-461 "Southlight, Inc." 29-Jun-01 01-Jan-13 31-Dec-13 Type A 18-Mar-09 - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Kinton Court "3125 Poplarwood Ct., #203" Raleigh NC 27604 301 Sunset Drive Fuquay-Varina NC 27526 Wake (919)557-6967 "Southlight, Inc." 080717 MHL-092-105 "Southlight, Inc." 01-May-92 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Oberlin Road 3125 Poplarwood Court #203 Raleigh NC 27604-6445 1012 Oberlin Road Ste 300 Raleigh NC 27605 Wake (919)872-7373 "Southlight, Inc./ Melanie Thomas" 080717 MHL-092-105 "Southlight, Inc." 01-May-92 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Oberlin Road 3125 Poplarwood Court #203 Raleigh NC 27604-6445 1012 Oberlin Road Ste 300 Raleigh NC 27605 Wake (919)872-7373 "Southlight, Inc./ Melanie Thomas" 945125 MHL-092-169 "Southlight, Inc." 06-Sep-94 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Garner Road 3125 Poplarwood Ct. Suite 203 Raleigh NC 27604-5445 2101 Garner Road Suite# 107 and 113 Raleigh NC 27610 Wake (919)832-4453 "Southlight, Inc." 945125 MHL-092-169 "Southlight, Inc." 06-Sep-94 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Garner Road 3125 Poplarwood Ct. Suite 203 Raleigh NC 27604-5445 2101 Garner Road Suite# 107 and 113 Raleigh NC 27610 Wake (919)832-4453 "Southlight, Inc." 945125 MHL-092-169 "Southlight, Inc." 06-Sep-94 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Garner Road 3125 Poplarwood Ct. Suite 203 Raleigh NC 27604-5445 2101 Garner Road Suite# 107 and 113 Raleigh NC 27610 Wake (919)832-4453 "Southlight, Inc." 080024 MHL-090-144 "Southwood Place Group and Developmental Center, Inc." 04-Mar-03 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Southwood Place Group Home #1 PO Box 396 Monroe NC 28111 134 East Avenue Monroe NC 28110 Union (704)283-0059 Annie A. Ivey 001448 MHL-090-172 "Southwood Place Group and Developmental Center, Inc." 20-Jul-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Southwood Group Home #2 PO Box 396 Monroe NC 28112 309 Hamilton Street Monroe NC 28112 Union (704)289-5276 "Attn: Annie A. Ivey, Exec. Dir." 050460 MHL-041-770 "Special ""K"" Services, Inc." 21-Dec-05 01-Jan-13 31-Dec-13 - - - - 5 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL "Special ""K"" Services" 825 Nestleway Drive Greensboro NC 27406 825 Nestleway Drive Greensboro NC 27406 Guilford (336)275-4594 070073 MHL-060-1017 "Special K Enrichment, Inc." 30-Apr-07 01-Jan-13 31-Dec-13 Type A 14-Nov-07 - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL SKE / Mary McCullough Home PO Box 668882 Charlotte NC 28266 7618 Woodknoll Drive Charlotte NC 28217 Mecklenburg (704)523-9464 "Special K Enrichment, Inc." 080741 MHL-060-1086 "Special K Enrichment, Inc." 19-Nov-08 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY SKE/Day Support-Charlotte PO Box 668882 Charlotte NC 28266 2838-A Queen City Drive Charlotte NC 28208 Mecklenburg (704)395-9387 "Special K Enrichment, Inc." 040983 MHL-036-277 "Special K Enrichment, Inc." 23-Feb-10 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY SKE/Day Support-Gastonia PO Box 668882 Charlotte NC 28266 1564-A Union Road Gastonia NC 28054 Gaston (704)917-0230 "Special K Enrichment, Inc." 090909 MHL-036-280 "Special K Enrichment, Inc." 07-Apr-10 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL SKE/Parrish Baylock Home PO Box 668882 Charlotte NC 28266 1419 Cherry Park Drive Gastonia NC 28052 Gaston (704)648-8101 "Special K Enrichment, Inc." 120441 MHL-076-112 Specialized Services & Personnel Inc. 04-Oct-12 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY Asheboro Day Site PO Box 1356 Aberdeen NC 28315 "414-A Suite 1E, Dixie Drive" Asheboro NC 27203 Randolph (336)625-2460 "Specialized Services & Personnel, Inc." 090848 MHL-080-109 "Specialized Services & Personnel, Inc." 10-Apr-01 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Ivy - 10th PO Box 1356 Aberdeen NC 28315 120 10th Street Spencer NC 28159 Rowan (704)633-9894 "Specialized Services and Personnel, Inc." 960190 MHL-092-227 "Specialized Services & Personnel, Inc." 14-Mar-96 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Bushberry Residential P.O. Box 1356 Aberdeen NC 28315 105 Bushberry Court Garner NC 27529 Wake (919)662-1085 "Specialized Services & Personnel, Inc." 051153 MHL-063-052 "Specialized Services & Personnel, Inc." 23-Apr-99 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Alan Circle PO Box 1356 Aberdeen NC 28315 1222 Pee Dee Road Aberdeen NC 28315 Moore (910)944-7675 110147 MHL-063-098 "Specialized Services & Personnel, Inc." 18-May-11 01-Jan-13 31-Dec-13 - - - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Fayetteville Street - Heather Trail PO Box 1356 Aberdeen NC 28315 604 Fayetteville Street Aberdeen NC 28315 Moore (910)944-1522 "Specialized Services & Personnel, Inc." 921135 MHL-026-653 "Spigner Management Systems, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 9 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Spigner DDA Group Home PO Box 758 Fayetteville NC 28302 205 Scott Avenue Fayetteville NC 28301 Cumberland (910)486-5137 040949 MHL-067-157 "Spirit of Excellence Community Outreach, Inc." 02-Nov-04 01-Jan-13 31-Dec-13 Type B 11-Sep-09 - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Guardian Care 2 123 Henderson Drive Jacksonville NC 28540 510 Crissy Drive Jacksonville NC 28541 Onslow (910)219-0459 Guardian Care 2 041556 MHL-067-158 "Spirit of Excellence Community Outreach, Inc." 02-Nov-04 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Guardian Care Adult Day Program PO Box 752 Jacksonville NC 28540 1690 Wilmington Hwy Jacksonville NC 28540 Onslow (910)353-5555 Rock of Deliverance Church 100933 MHL-067-181 "Spirit of Excellence Community Outreach, Inc." 20-Apr-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Bridge of Hope PO Box 752 Jacksonville NC 28540 123 Henderson Drive Jacksonville NC 28540 Onslow (910)353-5555 "Spirit of Excellence Community Outreach, Inc." 100995 MHL-042-061 "Spring Life Behavioral Care, LLC" 22-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Spring Life Behavioral Care, LLC" 19 East 11th Street Roanoke Rapids NC 27870 19 East 11th Street Roanoke Rapids NC 27870 Halifax (252)535-6400 100995 MHL-042-061 "Spring Life Behavioral Care, LLC" 22-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Spring Life Behavioral Care, LLC" 19 East 11th Street Roanoke Rapids NC 27870 19 East 11th Street Roanoke Rapids NC 27870 Halifax (252)535-6400 952775 MHL-060-147 St. Mark's Incorporated - Lifespan 01-Aug-91 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Tuckaseegee Group Home 200 Clanton Road Charlotte NC 28217 5400 Tuckasgee Road Charlotte NC 28208 Mecklenburg (704)393-9376 970538 MHL-092-338 "St. Marks Manor, Inc." 14-Jan-99 01-Jan-13 31-Dec-13 - - - - 9 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL St. Mark's Manor PO Box 1057 Holly Springs NC 27540 3735 Heritage Meadow Lane Holly Springs NC 27540 Wake (919)363-5311 "St. Marks Manor, Inc." 100699 MHL-064-088 Stacy Davenport Baird 06-Mar-08 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Welcome Home Group Home II 1522 Glen Eagle Court Nashville NC 27856 1522 Glen Eagle Court Nashville NC 27856 Nash (252)813-5557 Stacy Vee Davenport 120073 MHL-064-130 "Starting Pointe, Inc." 16-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Starting Pointe, Inc." 301 South Church Street Suite 270 Rocky Mount NC 27804 "301 South Church Street, Suite 270" Rocky Mount NC 27804 Nash (252)414-7938 120073 MHL-064-130 "Starting Pointe, Inc." 16-Apr-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Starting Pointe, Inc." 301 South Church Street Suite 270 Rocky Mount NC 27804 "301 South Church Street, Suite 270" Rocky Mount NC 27804 Nash (252)414-7938 100854 MHL-041-1013 "Step By Step Care, Inc." 21-Apr-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY "Step By Step Care, Inc." "709 East Market Street, Suite 100-B" Greensboro NC 27401 "709 East Market Street, Suite 100-B" Greensboro NC 27401 Guilford (336)378-0109 100854 MHL-041-1013 "Step By Step Care, Inc." 21-Apr-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "Step By Step Care, Inc." "709 East Market Street, Suite 100-B" Greensboro NC 27401 "709 East Market Street, Suite 100-B" Greensboro NC 27401 Guilford (336)378-0109 120481 MHL-047-152 Stephanie D. Wall 20-Feb-13 20-Feb-13 31-Dec-13 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Essence 720 Fairbluff Drive Hope Mills NC 28348 1357 Wayside Road Raeford NC 28376 Hoke (910)482-9919 Stephanie D. Wall 970220 MHL-041-187 "Stephen William Ringer LCSW, LCAS" 06-Feb-97 01-Jan-13 31-Dec-13 - - - - 0 27G.3300 Outpatient Detoxification ADOL&A SAS DAY The Ringer Center 213 East Bessemer Avenue Greensboro NC 27401 213 East Bessemer Avenue Greensboro NC 27401 Guilford (336)379-7144 970220 MHL-041-187 "Stephen William Ringer LCSW, LCAS" 06-Feb-97 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA ADOL&A SAS DAY The Ringer Center 213 East Bessemer Avenue Greensboro NC 27401 213 East Bessemer Avenue Greensboro NC 27401 Guilford (336)379-7144 030312 MHL-078-149 "Stephens Outreach Center, Inc." 16-Oct-03 01-Jan-13 31-Dec-13 - - - - 6 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL "Stephens Outreach Center, Inc." PO Box 1462 Fairmont NC 28340 608-A Martin Luther King Drive Fairmont NC 28340 Robeson (910)628-8053 "Stephens Outreach Center, Inc." 051282 MHL-024-098 "Stephens Outreach Center, Inc." 17-Dec-12 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Stephens Outreach Center-Trinity House 2105-B Elizabethtown Road Lumberton NC 28358 1114 McClarey Road Evergreen NC 28438 Columbus (910)648-6941 "Stephens Outreach Center, Inc." 120304 MHL-092-846 Stepping Stones Community Resources Incorporated 22-Jun-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program ADOL&A SAS DAY Stepping Stones Community Resources Incorporated PO Box 2071 Wendell NC 27591 103 S. Arendell Avenue Zebulon NC 27597 Wake (919)269-9300 120304 MHL-092-846 Stepping Stones Community Resources Incorporated 22-Jun-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment ADOL&A SAS DAY Stepping Stones Community Resources Incorporated PO Box 2071 Wendell NC 27591 103 S. Arendell Avenue Zebulon NC 27597 Wake (919)269-9300 050026 MHL-026-859 "Stepping Stones Group Homes, Inc." 13-Aug-08 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MD DAY Education Unlimited #2 PO Box 35067 Fayetteville NC 28303 1448 Pamalee Drive Fayetteville NC 28303 Cumberland (910)630-3041 "Stepping Stones Group Homes,Inc." 091053 MHL-095-046 "Stepping Stones Wellness Center, Inc." 09-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.3600 Outpatient Methadone A SAS DAY Stepping Stone Wellness Center of Boone PO Box 2318 Boone NC 28607 643-L Greenway Road Boone NC 28607 Watauga (828)265-7078 "Stepping Stones Wellness Center, Inc." 030418 MHL-026-858 "Stepping StonesGroup Homes, Inc." 13-Aug-08 01-Jan-13 31-Dec-13 Type B 07-Feb-11 - - 0 27G.5400 Day Activity A MD DAY Education Unlimited #1 PO Box 35067 Fayetteville NC 28303 1390 Thelbert Drive Fayetteville NC 28301 Cumberland (910)822-1294 "Stepping Stones Group Homnes, Inc." 110065 MHL-036-268 "Steps for Success Family Services, LLC" 18-Feb-09 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Belmont House PO Box 43077 Charlotte NC 28215 927 Floyd Lane Gastonia NC 28052 Gaston (704)671-2602 111032 MHL-036-296 "Steps for Success Family Services, LLC" 16-Feb-12 01-Jan-13 31-Dec-13 - - - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Dorothy's Place PO Box 43077 Charlotte NC 28215 1024 Junius Street Gastonia NC 28052 Gaston (704)671-2602 "Steps For Success Family Services, LLC" 960469 MHL-064-095 Steve Avent 08-Oct-08 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Steve Avent 3925 Sunset Ave. Rocky Mount NC 27803 3925 Sunset Avenue Rocky Mount NC 27803 Nash (252)984-0556 041289 MHL-041-742 Stonebraker's Inc. 22-Nov-04 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA C&ADOL&A SAS DAY The Insight Program 5110 Old Ellis Point Roswell GA 30076 3714 Alliance Drive Suite 400 Greensboro NC 27407 Guilford (336)852-3033 Stonebraker's Inc. 120537 MHL-060-1253 "Stonebrakers, Inc." 14-Nov-12 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA ADOL&A SAS DAY The Insight Program "920 Blairhill Road, B119" Charlotte NC 28217 "920 Blairhill Road, B119" Charlotte NC 28217 Mecklenburg (704)679-9600 "Stonebrakers, Inc." 080393 MHL-045-082 "Storybook Farm, Inc." 20-Oct-08 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL A Step Forward 180 North Hillside Road Hendersonville NC 28791 180 North Hillside Road Hendersonville NC 28791 Henderson (828)290-3461 Meritte R. Ward and Jimmie G. Ward 110059 MHL-092-810 "Straight Walk Family Services, Inc." 09-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY Straight Walk Family Services "3101 Stoneybrook Dr., Ste. 108" Raleigh NC 27604 "3101 Stoneybrook Drive, Suite 108/102" Raleigh NC 27604 Wake (919)747-9172 "Straight Walk Family Services, Inc." 110059 MHL-092-810 "Straight Walk Family Services, Inc." 09-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY Straight Walk Family Services "3101 Stoneybrook Dr., Ste. 108" Raleigh NC 27604 "3101 Stoneybrook Drive, Suite 108/102" Raleigh NC 27604 Wake (919)747-9172 "Straight Walk Family Services, Inc." 110059 MHL-092-810 "Straight Walk Family Services, Inc." 09-Feb-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY Straight Walk Family Services "3101 Stoneybrook Dr., Ste. 108" Raleigh NC 27604 "3101 Stoneybrook Drive, Suite 108/102" Raleigh NC 27604 Wake (919)747-9172 "Straight Walk Family Services, Inc." 100277 MHL-099-025 "Strategic Interventions, Inc." 06-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY The Center - A Strategic Interventions Facility P. O. Box 1149 Nebo NC 28761 1012 Glenway Drive Yadkinville NC 27055 Yadkin (828)257-3199 "Strategic Interventions, Inc." 100172 MHL-059-048 "Strategic Interventions, Inc." 01-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY The Center - A Strategic Interventions Facility PO Box 1149 Nebo NC 28761 3100 Hwy 226 South Suite B Marion NC 28752 McDowell (828)257-2900 "Strategic Interventions, Inc." 100428 MHL-059-049 "Strategic Interventions, Inc." 01-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY The Recovery Center P O Box 1149 Nebo NC 28761 3100 Hwy 226 South - Suite A Marion NC 28752 McDowell (828)257-2906 "Strategic Interventions, Inc." 110737 MHL-011-337 "Strategic Interventions, Inc." 04-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY Candler PSR PO Box 1149 Nebo NC 28761 33 Horsebarn Road Candler NC 28715-6700 Buncombe (828)665-4424 "Strategic Interventions, Inc." 110738 MHL-011-338 "Strategic Interventions, Inc." 04-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Candler SAIOP PO Box 1149 Nebo NC 28761 "33 Horsebarn Road, Suite A" Candler NC 28715-6700 Buncombe (828)665-4424 "Strategic Interventions, Inc." 050112 MHL-012-128 "Strategic Interventions, Inc." 20-Oct-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Morganton - SAIOP P.O. Box 1149 Nebo NC 28761 "301 East Meeting Street, Suite 11" Morganton NC 28655 Burke (828)659-3418 "Strategic Interventions, Inc." 100235 MHL-032-519 "Structured Family Interventions, LLC" 02-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY "Structured Family Interventions, LLC" "5318 Highgate Dr., Ste. 231" Durham NC 27713 "5318 Highgate Drive, Suite 231" Durham NC 27713 Durham (919)416-0800 100235 MHL-032-519 "Structured Family Interventions, LLC" 02-Mar-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY "Structured Family Interventions, LLC" "5318 Highgate Dr., Ste. 231" Durham NC 27713 "5318 Highgate Drive, Suite 231" Durham NC 27713 Durham (919)416-0800 120072 MHL-041-1042 "Successful Solutions, Inc." 08-Mar-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Successful Solutions, Inc." "216 Commerce Pl., Ste. D" Greensboro NC 27401 "216 Commerce Place, Suite D" Greensboro NC 27401 Guilford (336)988-8502 080665 MHL-041-888 "Successful Start, LLC" 19-Dec-08 01-Jan-13 31-Dec-13 Type B 16-Aug-12 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Successful Start 2309 Williams Ave. High Point NC 27262 2309 Williams Avenue High Point NC 27262 Guilford (336)886-5611 Successful Start LLC 080012 MHL-041-866 "Successful Transitions, LLC" 08-May-08 01-Jan-13 31-Dec-13 Type A 17-Jul-09 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Successful Transitions LLC-Residential HomeII-level III 8300 Chartwell Drive Oak Ridge NC 27310-9814 820 Mark Street High Point NC 27260-5928 Guilford (336)889-7515 Eva and Victor Washington 060446 MHL-041-1065 "Successful Visions, LLC" 13-Nov-12 01-Jan-13 31-Dec-13 - - - - 5 27G.1300 Residential Treatment Level II C&ADOL NONE RESIDENTL "Successful Visions, LLC" 1005 Benjamin Parkway Greensboro NC 27408 1005 Benjamin Parkway Greensboro NC 27403 Guilford (336)852-0203 "Successful Visions, LLC" 120058 MHL-067-198 "Sucoree Enterprise, PLLC" 14-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Sucoree Enterprise, PLLC" "609 Richland's Highway, Suite #8" Jacksonville NC 28540 "609 Richland's Highway, Suite #8" Jacksonville NC 28540 Onslow (910)265-1894 120268 MHL-062-035 Sue S. Sparks 27-Jul-12 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL D & S Country Manor PO Box 146 Seagrove NC 27341 3963 NC ALT 220 HWY N Seagrove NC 27341 Montgomery (336)953-4953 Sue S. Sparks 991011 MHL-011-187 "Summerland Homes, Inc." 01-Oct-99 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&A NONAMB1 RESIDENTL Summersgill Home P.O. Box 160 Weaverville NC 28787 476 Blackberry Inn Road Weaverville NC 28787 Buncombe (828)645-7272 "Summerland Homes, Inc." 061009 MHL-061-010 "Summerland Homes, Inc." 30-Oct-06 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MI RESIDENTL Kaye Webb Home P.O. Box 160 Weaverville NC 28787 502 Valley Road Spruce Pine NC 28777 Mitchell (828)385-0388 "Summerland Homes, Inc." 080040 MHL-011-299 "Summerland Homes, Inc." 01-Oct-08 01-Jan-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL MD RESIDENTL Cogdill's Home Care PO Box 160 Weaverville NC 28787 26 Nightingale Lane Weaverville NC 28787 Buncombe (828)645-4850 "Summerland Homes, Inc." 100209 MHL-100-016 "Summerland Homes, Inc." 24-May-10 01-Jan-13 31-Dec-13 - - - - 1 27G.5600F Supervised Living/Alternative Family Living C&A MI RESIDENTL Serenity Springs PO Box 160 Weaverville NC 28787 905 Scronce Creek Road Burnsville NC 28714 Yancey (828)682-9126 "Summerland Homes, Inc." 021221 MHL-011-328 "Summerland Homes, Inc." 05-Nov-10 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MD RESIDENTL Lee Home P.O. Box 160 Weaverville NC 28787 33 Weston Heights Drive Asheville NC 28803 Buncombe (828)684-7422 "Summerland Homes, Inc." 030241 MHL-005-018 "Summit Support Services of Ashe, Inc." 19-Jul-01 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A AMB DAY S.T.E.P. (Summit Training and Education Program) PO Box 381 Jefferson NC 28640 406 Court Street Jefferson NC 28640 Ashe (336)846-5678 S. T. E. P 920033 MHL-005-020 "Summit Support Services of Ashe, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL "Summit Support Services of Ashe, Inc. - Ark" PO Box 381 Jefferson NC 28640 342 Long Street Jefferson NC 28640 Ashe (336)846-6534 920034 MHL-005-019 "Summit Support Services of Ashe, Inc." 15-Jun-01 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Summit Support Services of Ashe-Lighthouse PO Box 381 Jefferson NC 28640-0381 120 Ashe Street Jefferson NC 28640 Ashe (336)846-2777 030773 MHL-026-777 "Sunlight Behavior Center, Inc." 31-Oct-03 01-Jan-13 31-Dec-13 Type A 22-Feb-13 - - 4 27G.1700 Residential Treatment Level III C&ADOL MI RESIDENTL Sunlight Behavior Center 2030 Hoke Loop Road Fayetteville NC 28314 2030 Hoke Loop Road Fayetteville NC 28314 Cumberland (910)864-2443 Rashad Rahmaan 090071 MHL-036-272 "Sunpath, LLC" 06-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.3700 Day Treatment for SA A SAS DAY Sunpath-Substance Abuse Services PO Box 864 Gastonia NC 28053 413/415 West Main Streeet Gastonia NC 28052 Gaston (704)478-6093 "Sunpath, LLC" 090071 MHL-036-272 "Sunpath, LLC" 06-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY Sunpath-Substance Abuse Services PO Box 864 Gastonia NC 28053 413/415 West Main Streeet Gastonia NC 28052 Gaston (704)478-6093 "Sunpath, LLC" 090071 MHL-036-272 "Sunpath, LLC" 06-Jul-09 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY Sunpath-Substance Abuse Services PO Box 864 Gastonia NC 28053 413/415 West Main Streeet Gastonia NC 28052 Gaston (704)478-6093 "Sunpath, LLC" 090926 MHL-032-528 "Sunrise Clincal Associates, PLLC" 09-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY "Sunrise Clinical Associates, PLLC" 3326 Shannon Road Suite 104 Durham NC 27707 "3622 Shannon Road, Suite 104" Durham NC 27707 Durham (919)493-5013 "Sunrise Clincial Associates, PLLC" 090926 MHL-032-528 "Sunrise Clincal Associates, PLLC" 09-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation A MI DAY "Sunrise Clinical Associates, PLLC" 3326 Shannon Road Suite 104 Durham NC 27707 "3622 Shannon Road, Suite 104" Durham NC 27707 Durham (919)493-5013 "Sunrise Clincial Associates, PLLC" 090926 MHL-032-528 "Sunrise Clincal Associates, PLLC" 09-Apr-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "Sunrise Clinical Associates, PLLC" 3326 Shannon Road Suite 104 Durham NC 27707 "3622 Shannon Road, Suite 104" Durham NC 27707 Durham (919)493-5013 "Sunrise Clincial Associates, PLLC" 070367 MHL-001-152 "Sunrise Pointe, LLC" 24-Sep-07 01-Jan-13 31-Dec-13 Type B 30-Mar-09 - - 4 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL "Sunrise Pointe, LLC" 842 New Jersey Avenue Burlington NC 27217 631 Spence Street Burlington NC 27217 Alamance (336)226-8004 Jackie Sellars 090202 MHL-001-177 "Sunrise Pointe, LLC" 04-Jun-09 01-Jan-13 31-Dec-13 - - - - 3 27G.1300 Residential Treatment Level II C&ADOL MI RESIDENTL Turning Pointe #1 842 New Jersey Avenue Burlington NC 27217 1409 Jackson Street Burlington NC 27217 Alamance (336)291-3548 "Sunrise Pointe, LLC" 110943 MHL-026-939 "Sunrise Residential Care, LLC" 10-Jan-13 10-Jan-13 31-Dec-13 - - - - 3 27G.5600A Supervised Living MI Adult A MI RESIDENTL Sunrise Residential Care 5227 Old Railroad Way Hope Mills NC 28348 5227 Old Railroad Way Hope Mills NC 28348 Cumberland (910)257-1538 "Sunrise Residential Care, LLC" 120467 MHL-026-909 "Sunrise Specialty Clinic, Inc." 13-Oct-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1100 Partial Hospitalization C&ADOL&A MI DAY The Dixie Center PO Box 87035 Fayetteville NC 28304 709 Hay Street Fayetteville NC 28301 Cumberland (910)321-0069 "Sunrise Specialty Clinic, Inc." 120467 MHL-026-909 "Sunrise Specialty Clinic, Inc." 13-Oct-10 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY The Dixie Center PO Box 87035 Fayetteville NC 28304 709 Hay Street Fayetteville NC 28301 Cumberland (910)321-0069 "Sunrise Specialty Clinic, Inc." 120467 MHL-026-909 "Sunrise Specialty Clinic, Inc." 13-Oct-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program C&ADOL&A SAS DAY The Dixie Center PO Box 87035 Fayetteville NC 28304 709 Hay Street Fayetteville NC 28301 Cumberland (910)321-0069 "Sunrise Specialty Clinic, Inc." 120467 MHL-026-909 "Sunrise Specialty Clinic, Inc." 13-Oct-10 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment C&ADOL&A SAS DAY The Dixie Center PO Box 87035 Fayetteville NC 28304 709 Hay Street Fayetteville NC 28301 Cumberland (910)321-0069 "Sunrise Specialty Clinic, Inc." 971063 MHL-098-037 "Sunshine Homecare, Inc." 28-Aug-97 01-Jan-13 31-Dec-13 Type B 23-Aug-07 - - 2 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sunshine P. O. Box 18 Saratoga NC 27873 5006 Archers Road Wilson NC 27873 Wilson (252)243-3785 090475 MHL-098-141 "Superior Living, LLC" 14-Dec-09 01-Jan-13 31-Dec-13 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Superior Living 3709 Columbia Avenue Wilson NC 27896 3709 Columbia Avenue Wilson NC 27896 Wilson (252)281-1088 Superior Living 921703 MHL-036-292 "Support, Inc." 26-Jul-11 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Support - Day Treatment P.O. Box 4003 Gastonia NC 28054 708 South Chestnut Street Gastonia NC 28054 Gaston (704)864-6444 "Support, Inc." 120420 MHL-055-120 "Support, Incorporated" 24-Aug-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1400 Day Treatment C&ADOL MI DAY Support Day Treatment PO Box 4003 Gastonia NC 28054 126 Performance Drive Lincolnton NC 28092 Lincoln (704)240-4267 "Support, Incorporated" 110704 MHL-051-201 "Supreme Love, Inc." 23-Dec-11 01-Jan-13 31-Dec-13 - - - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Supreme Love 1 4232 Coghill Drive Wilson NC 27896 103 Tilghman Street Kenly NC 27542 Johnston (919)284-0375 "Supreme Love, Inc." 944619 MHL-086-019 "Surry-Yadkin Residential Services, Inc." 15-Apr-94 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL ICF Sydnor Street Group Home 401 South Main Street Suite 100 Mt. Airy NC 27030 134 Sydnor Street Mt. Airy NC 27030 Surry (336)789-3451 Surry-Yadkin Residential Services 944787 MHL-086-020 "Surry-Yadkin Residential Services, Inc." 04-May-94 01-Jan-13 31-Dec-13 - - - - 6 27G.5600C Supervised Living DD Adult A NONAMB1 RESIDENTL ICF Park Drive Group Home "401 South Main Street, Suite 100" Mt. Airy NC 27030 1305 Park Drive Mt. Airy NC 27030 Surry (336)789-6697 Surry-Yadkin Residential Svcs 061155 MHL-086-044 "Surry-Yadkin Residential Services, Inc." 20-Sep-06 01-Jan-13 31-Dec-13 - - - - 0 27G.2300 Adult Developmental Vocational Programs NONE NONE DAY SYRS Day Services "401 S. Main St., Ste.100" Mount Airy NC 27030 162 B. West Pine Street Mount Airy NC 27030 Surry (336)786-5153 "Surry-Yadkin Residential Services, Inc." 061155 MHL-086-044 "Surry-Yadkin Residential Services, Inc." 20-Sep-06 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity NONE NONE DAY SYRS Day Services "401 S. Main St., Ste.100" Mount Airy NC 27030 162 B. West Pine Street Mount Airy NC 27030 Surry (336)786-5153 "Surry-Yadkin Residential Services, Inc." 060299 MHL-032-380 Susan Durham 02-Aug-06 01-Jan-13 31-Dec-13 Type B 27-Mar-12 - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL The Durham Family Group Home WIlkerson Avenue House PO Box 3305 Durham NC 27701 837 Wilkerson Ave Durham NC 27701 Durham (919)768-1933 "Susan Durham, LPN Dir." 120002 MHL-032-288 Susan Durham 29-Jan-03 01-Jan-13 31-Dec-13 - - - - 6 27G.5600A Supervised Living MI Adult A MI RESIDENTL The Durham Family Group Home PO Box 3305 Durham NC 27702 1109 South Alston Avenue Durham NC 27701 Durham (919)237-1102 Susan Durham 020054 MHL-064-140 Susan M. Stutz 01-Apr-13 01-Apr-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living A MD RESIDENTL Stutz AFL Home 3020 Berkley Drive Rocky Mount NC 27803 3020 Berkley Drive Rocky Mount NC 27803 Nash (252)903-8994 Stutz AFL Home 971484 MHL-092-296 Suzan Rouse 25-Dec-97 01-Jan-13 31-Dec-13 - - - - 3 27G.5600F Supervised Living/Alternative Family Living A MI RESIDENTL Booker Home 1424 Huntdell Main Drive Wendell NC 27591 1424 Huntdell Main Drive Wendell NC 27591 Wake (919)365-9099 Suzan Booker 110314 MHL-064-139 Suzanne Rollman 01-Apr-13 01-Apr-13 31-Dec-13 - - - - 2 27G.5600F Supervised Living/Alternative Family Living C&ADOL&A MD RESIDENTL AFL Home - Rollman 721 Brassie Club Drive Rocky Mount NC 27804 721 Brassie Club Drive Rocky Mount NC 27804 Nash (252)442-2032 Suzanne Rollman 041204 MHL-032-347 Sybil M. Castle 19-Jul-05 01-Jan-13 31-Dec-13 Type B 29-Nov-10 - - 5 27G.5600A Supervised Living MI Adult A MI RESIDENTL Adventure House 1003 Glenrose Drive Durham NC 27703 4 Kimbrough Court Durham NC 27703 Durham (919)957-9097 Sybil M. Castle 110547 MHL-041-929 "Sylvanglade Services, Inc." 25-Sep-09 01-Jan-13 31-Dec-13 Type A 04-Aug-11 - - 0 27G.2300 Adult Developmental Vocational Programs A MR/DD DAY Edward Douglas Center 108 Winola Court Greensboro NC 27409 108 Winola Court Greensboro NC 27409 Guilford (336)218-1176 "Sylvanglade Services, Inc." 070740 MHL-041-1053 "Sylvanglade Services, Inc." 24-Jul-12 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Sylvanglade Home #2 108 Winola Court Greensboro NC 27409 4921 Sylvanglade Road McLeansville NC 27301 Guilford (336)323-8285 "Sylvanglade Services, Inc." 952368 MHL-097-003 "Synergy Recovery , Inc." 01-Jul-80 01-Jan-13 31-Dec-13 Type A 20-May-11 - - 4 27G.3400 Residential Treatment/Rehabilitation C&ADOL SAS RESIDENTL Synergy Recovery at the Bundy Center P.O. Box 26 Wilkesboro NC 28697 118 Peace St. North Wilkesboro NC 28659 Wilkes (336)667-7191 952368 MHL-097-003 "Synergy Recovery , Inc." 01-Jul-80 01-Jan-13 31-Dec-13 Type A 20-May-11 - - 0 27G.3700 Day Treatment for SA NONE SAS DAY Synergy Recovery at the Bundy Center P.O. Box 26 Wilkesboro NC 28697 118 Peace St. North Wilkesboro NC 28659 Wilkes (336)667-7191 952368 MHL-097-003 "Synergy Recovery , Inc." 01-Jul-80 01-Jan-13 31-Dec-13 Type A 20-May-11 - - 6 27G.3100 Non-hospital Medical Detoxification C&ADOL SAS RESIDENTL Synergy Recovery at the Bundy Center P.O. Box 26 Wilkesboro NC 28697 118 Peace St. North Wilkesboro NC 28659 Wilkes (336)667-7191 952368 MHL-097-003 "Synergy Recovery , Inc." 01-Jul-80 01-Jan-13 31-Dec-13 Type A 20-May-11 - - 4 27G.5000 Facility Crisis Svcs. for all Disability Groups C&ADOL&A MD DAY&RESL Synergy Recovery at the Bundy Center P.O. Box 26 Wilkesboro NC 28697 118 Peace St. North Wilkesboro NC 28659 Wilkes (336)667-7191 030166 MHL-075-021 "Synergy in Action, Inc." 20-Mar-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Peniel #1 "20 Jervey Road, Suite 102" Tryon NC 28782-3656 2936 Peniel Road Tryon NC 28782 Polk (828)894-8260 "Synergy In Action, Inc." 040617 MHL-075-023 "Synergy in Action, Inc." 01-Jun-09 01-Jan-13 31-Dec-13 - - - - 4 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Holly Hill 20 Jervey Road Suite 102 Tryon NC 28782 84 Holly Hill Drive Columbus NC 28722 Polk (828)894-0275 "Synergy In Action, Inc." 070741 MHL-081-082 "Synergy in Action, Inc." 01-Jun-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Thermal Drive "20 Jervery Road, Suite 102" Tryon NC 28782 149 Thermal Drive Forest City NC 28043 Rutherford (828)288-6826 "Synergy In Action, Inc." 030087 MHL-075-022 "Synergy in Action, Inc." 01-Jun-09 01-Jan-13 31-Dec-13 - - - - 3 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL Peniel #2 20 Jervey Road Suite 102 Tryon NC 28782 2960 Peniel Road Tryon NC 28782 Polk (828)859-0585 "synergy In Action, Inc." 921531 MHL-075-025 "Synergy in Action, Inc." 01-Jan-12 01-Jan-13 31-Dec-13 - - - - 5 27G.5600C Supervised Living DD Adult A MR/DD RESIDENTL The Lighthouse "20 Jervey Rd., Ste. 102" Tryon NC 28782 85 Mimosa Inn Lane Tryon NC 28782 Polk (828)899-9770 "Synergy In Action, Inc." 922685 MHL-053-008 "T.L.C. Homes, Inc." 01-Dec-87 01-Jan-13 31-Dec-13 - - - - 10 27G.2100 Specialized Community Residential Center A MR/DD RESIDENTL ICF "T.L.C. Home, Inc." 1775 Hawkins Avenue Sanford NC 27330 1775 Hawkins Avenue Sanford NC 27330 Lee (919)774-4355 100488 MHL-033-109 "T.N.R. Treatment Services, Inc." 07-May-12 01-Jan-13 31-Dec-13 - - - - 0 27G.1200 Psychosocial Rehabilitation C&ADOL&A MI DAY "T.N.R. Treatment Services, Inc." 908 Penncross Drive Raleigh NC 27610 2248-A Main Street Tarboro NC 27886 Edgecombe (252)641-0090 060278 MHL-047-147 "T.R.U.T.H., LLC" 03-Nov-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4400 Substance Abuse Intensive Outpatient Program A SAS DAY "T.R.U.T.H., LLC" 140 Loblolly Court Rockingham NC 28379 120 West Edinborough Avenue Raeford NC 28376 Hoke (910)848-1330 060278 MHL-047-147 "T.R.U.T.H., LLC" 03-Nov-11 01-Jan-13 31-Dec-13 - - - - 0 27G.4500 Substance Abuse Comprehensive Outpatient Treatment A SAS DAY "T.R.U.T.H., LLC" 140 Loblolly Court Rockingham NC 28379 120 West Edinborough Avenue Raeford NC 28376 Hoke (910)848-1330 020721 MHL-092-504 "TLC Operations, Inc." 20-Jun-02 01-Jan-13 31-Dec-13 - - - - 0 27G.5400 Day Activity A MI DAY Tammy Lynn Center for Developmental Disabilities 739 Chappell Drive Raleigh NC 27606 747 Chappell Drive Raleigh NC 27606 Wake (919)832-3909 Tammy Lynn Center for DD 922692 MHL-092-011 "TLC Operations, Inc." 01-Mar-85 01-Jan-13 31-Dec-13 - - - - 30 27G.2100 Specialized Community Residential Center C&A MR/DD RESIDENTL ICF Tammy Lynn Center for Developmental Disabilities 739 Chappell Driv