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Organization

DAVID F CURTIS

Active
Other names
Future Innovations
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID FORSTER CURTS MSM, BSW (EXECUTIVE DIRECTOR)
(704) 502-1388
Entity
Organization

Contact information

Practice address
13178 NC HIGHWAY 130 E, FAIRMONT, NC 28340-9597
(910) 628-1334
(910) 628-1336
Mailing address
10215 PINESHADOW DR APT 201, CHARLOTTE, NC 28262-1262
(704) 502-1388
(910) 628-1336

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-078-207
NC
324500000X
Substance Abuse Rehabilitation Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6604282
NC
Enumeration date
01/10/2008
Last updated
03/30/2011
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