Organization
LOVING TREE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY DONNELL THOMPSON (EXECUTIVE DIRECTOR)
(919) 619-4448
Entity
Organization
Contact information
Practice address
703 WEST THIRD AVE, RED SPRINGS, NC 28377-0000
(919) 619-4448
(910) 843-6887
Mailing address
703 WEST THIRD AVE, RED SPRINGS, NC 28377-0000
(919) 619-4448
(910) 843-6887
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-078-190
NC
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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