Organization
LUTHERAN FAMILY SERVICES IN THE CAROLINAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWIGHT MURRAY (AR AND CONTRACTS MANGER)
(919) 861-2850
Entity
Organization
Contact information
Practice address
4240 TIMBERLANE DR, COLUMBIA, SC 29205-4941
(803) 790-0810
Mailing address
PO BOX 12287, RALEIGH, NC 27605-2287
(919) 832-2620
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
SR-0008193001 GH
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
928MXH
—
NC
Enumeration date
01/29/2007
Last updated
08/22/2020
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