Organization
CAROLINA POINT HOME
Active
Other names
Youth Adult Care Management
Organization subpart
No
Provider details
NPI number
Authorized official
RECHON BLACK (OWNER)
(704) 933-3505
Entity
Organization
Contact information
Practice address
4127 CAROLINA POINTE CT, CONCORD, NC 28027-0410
(704) 933-3505
Mailing address
PO BOX 1013, CONCORD, NC 28026-1013
(704) 933-3505
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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