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Organization
CORPUS CHRISTI SERVICES, INC.
Active
Organization
CORPUS CHRISTI SERVICES, INC.
Active
Other names
Acadiana House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL RENEE MCRAE (PRESIDENT)
(910) 735-2988
Entity
Organization
Contact information
Practice address
20 ACADIANA DR, PARKTON, NC 28371-9050
(910) 858-1629
(910) 858-1604
Mailing address
PO BOX 640, PARKTON, NC 28371-0640
(910) 735-2988
(910) 735-2987
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL078147
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603610
—
NC
Enumeration date
02/21/2007
Last updated
08/22/2020
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