Organization
CONTOUR SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY BLAKENEY (PRESIDENTCEO)
(704) 238-0338
Entity
Organization
Contact information
Practice address
609 PIPER CT, WINGATE, NC 28174-9686
(704) 233-1663
(704) 238-0689
Mailing address
PO BOX 1505, MONROE, NC 28111-1505
(704) 238-0338
(704) 238-0689
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL090101
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHL 090101
DFS
NC
Enumeration date
12/21/2007
Last updated
12/21/2007
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