Organization
QC HOUSE OF HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA JOHNSON HAZEL (OFFICE MANAGER)
(704) 476-0625
Entity
Organization
Contact information
Practice address
9915 TREESIDE LN, MATTHEWS, NC 28105-7221
(704) 476-0625
Mailing address
9915 TREESIDE LN, MATTHEWS, NC 28105-7221
(704) 476-0625
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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