# HARTSELLS TEEN FOCUS,INC

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

## Provider details

- **NPI number:** 1912195975
- **Authorized official:** MRS. TERESA FAGAN HARTSELL RN (EXCUTIVE DIRECTOR)
- **Authorized official phone:** (336) 442-1805

## Contact information

- **Practice address:** 323 NC HWY 62 EAST, GREENSBORO, NC 27406
- **Practice address phone:** (336) 442-1805
- **Practice address fax:** (336) 434-0175
- **Mailing address:** 5952 GILBERT DAVIS DR, RANDLEMAN, NC 27317-7177
- **Mailing address phone:** (336) 442-1805
- **Mailing address fax:** (336) 434-0175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-041-836 | NC | Yes |

## Other

- **Enumeration date:** 10/04/2007
- **Last updated:** 10/04/2007