Organization
NAZARETH CHILDRENS HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE LEIGH MILLICAN (AVP OF FOSTER CARE SERVICES)
(704) 279-5556
Entity
Organization
Contact information
Practice address
7920 RED ROAD, ROCKWELL, NC 28138
(704) 279-5556
(704) 279-5439
Mailing address
PO BOX 1438, ROCKWELL, NC 28138-1438
(704) 279-5556
(704) 279-5439
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL080173
NC
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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