# THOMPSON CHILD & FAMILY FOCUS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134474786
- **Authorized official:** MARY ELIZABETH PORRAS KANTROWITZ (ACCOUNTS RECEIVABLE)
- **Authorized official phone:** (704) 536-0375

## Contact information

- **Practice address:** 210 RUBE MCCRAY CIR, LAKE WACCAMAW, NC 28450-1943
- **Practice address phone:** (704) 536-0375
- **Practice address fax:** (704) 531-9266
- **Mailing address:** 6800 SAINT PETERS LN, MATTHEWS, NC 28105-8458
- **Mailing address phone:** (704) 536-0375
- **Mailing address fax:** (704) 531-9266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NC | Yes |

## Other

- **Enumeration date:** 07/19/2012
- **Last updated:** 11/09/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0000000 | — | NC |