Organization
THOMPSON CHILD & FAMILY FOCUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELIZABETH PORRAS KANTROWITZ (ACCOUNTS RECEIVABLE)
(704) 536-0375
Entity
Organization
Contact information
Practice address
210 RUBE MCCRAY CIR, LAKE WACCAMAW, NC 28450-1943
(704) 536-0375
(704) 531-9266
Mailing address
6800 SAINT PETERS LN, MATTHEWS, NC 28105-8458
(704) 536-0375
(704) 531-9266
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
NC
Enumeration date
07/19/2012
Last updated
11/09/2017
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