Organization
MONARCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY B JONES (CFO)
(704) 986-1522
Entity
Organization
Contact information
Practice address
207 ANDERSON RD, ALBEMARLE, NC 28001-8102
(704) 982-3540
Mailing address
350 PEE DEE AVE, SUITE A, ALBEMARLE, NC 28001-4945
(704) 986-1522
(704) 982-5279
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
MHL-084-040
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
05/31/2012
Last updated
03/31/2021
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