Organization
KATAM INC
Active
Other names
Ktam & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ARISTINE EADY (ADMINISTRATOR)
(910) 630-2105
Entity
Organization
Contact information
Practice address
731 MCGILVARY, FAYETTEVILLE, NC 28306-0955
(910) 630-2105
(910) 630-2105
Mailing address
P O BOX 64955, FAYETTEVILLE, NC 28306-0955
(910) 630-2105
(910) 630-2105
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
026579
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603038
—
NC
Enumeration date
02/28/2007
Last updated
12/03/2007
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