# CAROLINA POINT HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Youth Adult Care Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093934937
- **Authorized official:** RECHON BLACK (OWNER)
- **Authorized official phone:** (704) 933-3505

## Contact information

- **Practice address:** 4127 CAROLINA POINTE CT, CONCORD, NC 28027-0410
- **Practice address phone:** (704) 933-3505
- **Mailing address:** PO BOX 1013, CONCORD, NC 28026-1013
- **Mailing address phone:** (704) 933-3505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 08/22/2020