Organization
MONARCH
Active
Other names
COLDWATER
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY JONES (CFO)
(704) 986-1522
Entity
Organization
Contact information
Practice address
43 RIDGE CT SE, CONCORD, NC 28025-3836
(704) 720-9194
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
311ZA0620X
Adult Care Home Facility
MHL 013 143
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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