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Organization
NAZARETH CHILDRENS HOME
Active
Organization
NAZARETH CHILDRENS HOME
Active
Other names
Nazareth Child & Family Connection
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE MILLICAN CRABB LCSW, LCAS, CCS (DIRECTOR OF LICENSING & PROGRAM DEV)
(704) 279-5556
Entity
Organization
Contact information
Practice address
725 CRESCENT RD, ROCKWELL, NC 28138-7515
(704) 279-5556
(704) 255-1801
Mailing address
PO BOX 1438, ROCKWELL, NC 28138-1438
(704) 279-5556
(704) 255-1801
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
MHL080174
NC
253J00000X
Foster Care Agency
—
NC
323P00000X
Psychiatric Residential Treatment Facility
MHL-080-173
NC
Other
Enumeration date
07/10/2008
Last updated
03/02/2021
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