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Organization
TRAILS CAROLINA LLC
Active
Organization
TRAILS CAROLINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRAHAM SHANNONHOUSE (EXECUTIVE DIRECTOR)
(828) 885-5920
Entity
Organization
Contact information
Practice address
500 WINDING GAP RD, LAKE TOXAWAY, NC 28747-8786
(828) 885-5920
(828) 885-5922
Mailing address
500 WINDING GAP RD, LAKE TOXAWAY, NC 28747-8786
(828) 885-5920
(828) 885-5922
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
27G.5200
NC
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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