# SOUTHMOUNTAIN CHILDREN AND FAMILY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Gingerbread House-Burke Child Advocacy Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447437785
- **Authorized official:** MR. W. CHRIS JERNIGAN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (828) 584-1105

## Contact information

- **Practice address:** 408 S GREEN ST, MORGANTON, NC 28655-3529
- **Practice address phone:** (828) 430-9949
- **Practice address fax:** (828) 433-1268
- **Mailing address:** PO BOX 3387, MORGANTON, NC 28680-3387
- **Mailing address phone:** (828) 391-2803
- **Mailing address fax:** (828) 584-8910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2008
- **Last updated:** 05/17/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5908895 | — | NC |