# UNITED FAMILY NETWORK AT WILLOW SPRINGS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** United Family Network Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689865958
- **Authorized official:** MR. CHRISTOPHER SIMMONS I (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (910) 578-6806

## Contact information

- **Practice address:** 1259 RIDGE ROAD, ANTIER, NC 27501
- **Practice address phone:** (919) 894-2040
- **Practice address fax:** (919) 331-0026
- **Mailing address:** 1259 RIDGE ROAD, ANTIER, NC 27501
- **Mailing address phone:** (919) 894-2040
- **Mailing address fax:** (919) 331-0026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-092-576 | NC | Yes |

## Other

- **Enumeration date:** 08/05/2007
- **Last updated:** 09/25/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6603685 | LEVEL III RESIDENTIAL | NC |