Organization
CAROLINA HEALTH & DAY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CORA MARTIN (CFO)
(214) 244-9074
Entity
Organization
Contact information
Practice address
781 S MAIN ST, MOCKSVILLE, NC 27028-2613
(214) 244-9074
Mailing address
19251 PRESTON RD, DALLAS, TX 75252-8552
(214) 244-9074
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/21/2010
Last updated
11/22/2010
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