# CEDARBROOK RESIDENTIAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619012812
- **Authorized official:** MR. FRED H LEONARD MS, LPC, NC LIC. ADM (PRESIDENT)
- **Authorized official phone:** (828) 652-4633

## Contact information

- **Practice address:** 1267 PINNACLE CHURCH RD, NEBO, NC 28761-5753
- **Practice address phone:** (828) 652-4633
- **Mailing address:** PO BOX 1257, MARION, NC 28752-1257
- **Mailing address phone:** (828) 652-4633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | HAL059021 | NC | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7804606 | — | NC |