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Organization
SOUTHMOUNTAIN CHILDREN & FAMILY SERVICES, INC
Active
Organization
SOUTHMOUNTAIN CHILDREN & FAMILY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. W. CHRIS JERNIGAN (EXECUTIVE DIRECTOR)
(828) 584-1105
Entity
Organization
Contact information
Practice address
7330 MYRTLE DR, NEBO, NC 28761-8666
(828) 584-1105
(828) 584-8910
Mailing address
PO BOX 3387, MORGANTON, NC 28680-3387
(828) 391-2803
(828) 584-8910
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-012-079
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603308
—
NC
Enumeration date
03/21/2007
Last updated
05/17/2019
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