Organization
SOUTHMOUNTAIN CHILDREN AND FAMILY SERVICES
Active
Other names
The Gingerbread House-Burke Child Advocacy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. W. CHRIS JERNIGAN (EXECUTIVE DIRECTOR)
(828) 584-1105
Entity
Organization
Contact information
Practice address
408 S GREEN ST, MORGANTON, NC 28655-3529
(828) 430-9949
(828) 433-1268
Mailing address
PO BOX 3387, MORGANTON, NC 28680-3387
(828) 391-2803
(828) 584-8910
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5908895
—
NC
Enumeration date
01/29/2008
Last updated
05/17/2019
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