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Organization
MONARCH
Active
Organization
MONARCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY JONES (CFO)
(704) 986-1522
Entity
Organization
Contact information
Practice address
209 PILOT VIEW DR, KING, NC 27021-9181
(336) 983-0493
(336) 983-0493
Mailing address
350 PEE DEE AVE, SUITE A, ALBEMARLE, NC 28001-4945
(704) 986-1522
(704) 982-5279
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
311Z00000X
Custodial Care Facility
—
NULL
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-085-005
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
02/09/2007
Last updated
03/31/2021
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