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Organization
EBENEZER CHRISTIAN CHILDRENS HOME
Active
Organization
EBENEZER CHRISTIAN CHILDRENS HOME
Active
Other names
Ebenezer Garden Christian Childrens Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN DAVIS (EXECUTIVE DIRECTOR)
(336) 667-5683
Entity
Organization
Contact information
Practice address
1006 BYRD RIDGE RD, NORTH WILKESBORO, NC 28659-8044
(336) 667-5683
(336) 667-8634
Mailing address
P.O. BOX 2777, NORTH WILKESBORO, NC 28659-2777
(336) 667-5683
(336) 667-8634
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-097-061
NC
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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