Healthcare Provider Details

I. General information

NPI: 1770629206
Provider Name (Legal Business Name): MURDOCH DEVELOPMENTAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 EAST C STREET
BUTNER NC
27509-2530
US

IV. Provider business mailing address

1600 EAST C STREET
BUTNER NC
27509-2530
US

V. Phone/Fax

Practice location:
  • Phone: 919-575-1000
  • Fax: 919-575-1104
Mailing address:
  • Phone: 919-575-1000
  • Fax: 919-575-1104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. MICHELLE LEIGH REESE-JOSEFSBERG
Title or Position: UTILIZATION MANAGEMENT COORDINATOR
Credential: LCSW
Phone: 919-855-4761