Organization
CHRISTUS ADVOCACY COUNCIL
Active
Other names
Poplar House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALVIN GERARD JORDAN SR. (VOLUNTEER)
(610) 647-2530
Entity
Organization
Contact information
Practice address
53 POPLAR STREET, PARKTON, NC 28371-0640
(910) 858-0033
Mailing address
PO BOX 640, PARKTON, NC 28371-0640
(910) 735-2988
(910) 735-2987
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-078-209
NC
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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