Organization
GHA AUTISM SUPPORTS
Active
Other names
Carolina Farms Group Home #4
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN HARWOOD ALLEN (CEO)
(704) 982-9600
Entity
Organization
Contact information
Practice address
21160 BILES RD, ALBEMARLE, NC 28001-8014
(704) 982-9600
(704) 982-8155
Mailing address
213 N 2ND ST, ALBEMARLE, NC 28001-3939
(704) 982-9600
(704) 982-8155
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408844
—
NC
Enumeration date
02/24/2014
Last updated
02/24/2014
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