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
161 FUNDER DR, MOCKSVILLE, NC 27028-2885
(336) 751-1805
(336) 751-7538
Mailing address
350 PEE DEE AVE, SUITE A, ALBEMARLE, NC 28001-4945
(704) 986-1522
(704) 982-5279
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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