Organization
CEDAR TREE MINISTRIES, INC
Active
Other names
BIRGES HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAUNDRA ROCHELLE FANTI (ADMINISTRATOR)
(910) 846-5635
Entity
Organization
Contact information
Practice address
1571 MORGAN RD SW, SUPPLY, NC 28462-3135
(910) 846-2011
(910) 846-2311
Mailing address
1565 MORGAN RD SW, SUPPLY, NC 28462-3135
(910) 846-5635
(910) 846-2311
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-010-052
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603844
—
NC
Enumeration date
10/12/2006
Last updated
08/22/2020
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