# SUSIE'S PLACE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** T & C Property Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154560050
- **Authorized official:** MR. LORENZO MOORE (MANAGER)
- **Authorized official phone:** (336) 380-0772

## Contact information

- **Practice address:** 724 ASKEW ST, BURLINGTON, NC 27215-2202
- **Practice address phone:** (336) 380-0772
- **Practice address fax:** (336) 270-6303
- **Mailing address:** PO BOX 5144, BURLINGTON, NC 27216-5144
- **Mailing address phone:** (336) 380-0772
- **Mailing address fax:** (336) 270-6303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 3747P1801X | NC | Yes |

## Other

- **Enumeration date:** 02/17/2009
- **Last updated:** 02/17/2009
