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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
6725 SAINT PETERS LANE, MATTHEWS, NC 28015-8458
(704) 644-4356
(704) 531-9266
Mailing address
6800 SAINT PETERS LN, MATTHEWS, NC 28105-8458
(704) 536-0375
(704) 531-9266
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
MHL-060-829
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404 533
—
NC
Enumeration date
01/08/2009
Last updated
01/03/2019
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