# SUWS OF THE CAROLINAS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740470798
- **Authorized official:** MISS KAREN NILSEN (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (828) 668-7590

## Contact information

- **Practice address:** 363 GRAPHITE RD, OLD FORT, NC 28762-9455
- **Practice address phone:** (828) 668-7590
- **Practice address fax:** (828) 668-3162
- **Mailing address:** 363 GRAPHITE RD, OLD FORT, NC 28762-9455
- **Mailing address phone:** (828) 668-7590
- **Mailing address fax:** (828) 668-3162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-059-032 | NC | Yes |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | MHL-059-032 | NC | — |

## Other

- **Enumeration date:** 07/26/2007
- **Last updated:** 07/26/2007