Organization
HINTONS GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER HINTON (CEO)
(252) 205-7344
Entity
Organization
Contact information
Practice address
2728 S RIDGE AVE, CONCORD, NC 28025-2854
(252) 205-7344
Mailing address
4010 WILD OLIVE DR, HUNTERSVILLE, NC 28078-3968
(125) 220-5734
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
07/29/2022
Last updated
12/23/2024
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