Organization
PEIDMONT RRESIDENTIAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JR. STEWART (PRESIDENT)
(704) 591-1854
Entity
Organization
Contact information
Practice address
7540 FOREST OAK DR, DENVER, NC 28037-8224
(704) 966-0145
Mailing address
7540 FOREST OAK DR, DENVER, NC 28037-8224
(704) 966-0145
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
007768715
SC
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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