Individual
BERTINA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43653 COLONIAL HEIGHTS RD, NEW LONDON, NC 28127-9580
(704) 422-4080
Mailing address
403 KNOLLWOOD CIR, ALBEMARLE, NC 28001-9689
(704) 984-0553
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
MHL084107
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
MHL084107
NC
Other
Enumeration date
11/11/2013
Last updated
11/24/2023
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