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Organization
CEDAR TREE MINISTRIES, INC
Active
Organization
CEDAR TREE MINISTRIES, INC
Active
Other names
BIRGES HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAUNDRA ROCHELLE FANTI (ADMINISTRATOR)
(910) 846-5635
Entity
Organization
Contact information
Practice address
1571 MORGAN RD SW, SUPPLY, NC 28462-3135
(910) 846-2011
(910) 846-2311
Mailing address
1565 MORGAN RD SW, SUPPLY, NC 28462-3135
(910) 846-5635
(910) 846-2311
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-010-052
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603844
—
NC
Enumeration date
10/12/2006
Last updated
08/22/2020
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