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Organization
THOMPSON CHILD AND FAMILY FOCUS
Active
Organization
THOMPSON CHILD AND FAMILY FOCUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODY MATTHEW THOMAS MS (IT DIRECTOR)
(704) 644-4351
Entity
Organization
Contact information
Practice address
6750 ST. PETERS LANE, SUITE 300, MATTHEWS, NC 28105-8458
(704) 536-0375
(704) 531-9266
Mailing address
6800 SAINT PETERS LN, MATTHEWS, NC 28105-8458
(704) 644-4416
(704) 531-9266
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060-1227
NC DHHS MENTAL HEALTH LICENSE
NC
Enumeration date
01/31/2011
Last updated
01/03/2019
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