Organization
MONARCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY B JONES (CFO)
(704) 986-1522
Entity
Organization
Contact information
Practice address
3630 FRONTENAC AVE, CHARLOTTE, NC 28215-2966
(704) 568-0970
Mailing address
3630 FRONTENAC AVE, CHARLOTTE, NC 28215-2966
(704) 568-0970
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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