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Organization
UNITED FAMILY NETWORK AT WILLOW SPRINGS
Active
Organization
UNITED FAMILY NETWORK AT WILLOW SPRINGS
Active
Other names
United Family Network Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER SIMMONS I (EXECUTIVE DIRECTOR)
(910) 578-6806
Entity
Organization
Contact information
Practice address
1259 RIDGE ROAD, ANTIER, NC 27501
(919) 894-2040
(919) 331-0026
Mailing address
1259 RIDGE ROAD, ANTIER, NC 27501
(919) 894-2040
(919) 331-0026
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-092-576
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603685
LEVEL III RESIDENTIAL
NC
Enumeration date
08/05/2007
Last updated
09/25/2007
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