Organization
CO-OPERATIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL ANTHONY SAMUELS C.S.A.C (OWNER)
(336) 303-9020
Entity
Organization
Contact information
Practice address
4310 ALDERNY PL, HIGH POINT, NC 27265-9277
(336) 303-9020
Mailing address
4310 ALDERNY PL, HIGH POINT, NC 27265-9277
(336) 303-9020
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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