# MAG'S HOUSE

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

## Provider details

- **NPI number:** 1861533853
- **Authorized official:** MS. CYDNEY L BAKER (OWNER)
- **Authorized official phone:** (336) 558-8628

## Contact information

- **Practice address:** 7638 JACKSON SCHOOL RD \# A, BROWNS SUMMIT, NC 27214-9706
- **Practice address phone:** (336) 656-5336
- **Practice address fax:** (336) 643-9189
- **Mailing address:** 5214 BUNCH RD, SUMMERFIELD, NC 27358-9138
- **Mailing address phone:** (336) 656-5336
- **Mailing address fax:** (336) 643-9189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-041-802 | NC | Yes |

## Other

- **Enumeration date:** 02/11/2007
- **Last updated:** 08/22/2020