# QUAD COUNTY GROUP HOMES FOR EMOTIONALLY DISTURBED CHILDREN, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Serendipity House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609957869
- **Authorized official:** MR. P. MICHAEL HARTWIG MSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (336) 591-7234

## Contact information

- **Practice address:** 664 SPRING ST, WALNUT COVE, NC 27052-6879
- **Practice address phone:** (336) 591-7234
- **Practice address fax:** (336) 591-8230
- **Mailing address:** PO BOX 508, WALNUT COVE, NC 27052-0508
- **Mailing address phone:** (336) 591-7234
- **Mailing address fax:** (336) 591-8230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | MHL-085-002 | NC | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6603055 | — | NC |