Organization
FRIENDSHIP HOME OF MONROE, INC.
Active
Other names
FRIENDSHIP HOME, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY CARLSON LOCKLEAR (EXEC. DIRECTOR)
(704) 289-4144
Entity
Organization
Contact information
Practice address
2111 STAFFORD STREET EXT, MONROE, NC 28110-9650
(704) 289-4144
(704) 292-7742
Mailing address
2111 STAFFORD STREET EXT, MONROE, NC 28110-9650
(704) 289-4144
(704) 292-7742
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-090-005
NC
Other
Enumeration date
03/23/2008
Last updated
03/23/2008
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