Organization
GUIDING LIGHT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON ELIZABETH ADAMS MS, QMHP, QSAP (DIRECTOR/OWNER)
(336) 239-9201
Entity
Organization
Contact information
Practice address
166 HAMPTON RD, EDEN, NC 27288-7945
(336) 612-2278
(336) 358-4995
Mailing address
280 HAMPTON RD, EDEN, NC 27288-7946
(336) 239-9201
(336) 358-4995
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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