# CATAWBA COUNTY DSS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blevins
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578607644
- **Authorized official:** MRS. CRYSTAL DAWN MCMILLAN MA, QP (RESIDENTIAL SERVICES MANAGER)
- **Authorized official phone:** (828) 464-6840

## Contact information

- **Practice address:** 1118 RADIO STATION RD, NEWTON, NC 28658-9479
- **Practice address phone:** (828) 464-6057
- **Mailing address:** 1118 RADIO STATION RD, NEWTON, NC 28658-9479
- **Mailing address phone:** (828) 464-6057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL018062 | NC | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6603262 | — | NC |