Organization
QUAD COUNTY GROUP HOMES FOR EMOTIONALLY DISTURBED CHILDREN, INC.
Active
Other names
Serendipity House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. P. MICHAEL HARTWIG MSW (EXECUTIVE DIRECTOR)
(336) 591-7234
Entity
Organization
Contact information
Practice address
664 SPRING ST, WALNUT COVE, NC 27052-6879
(336) 591-7234
(336) 591-8230
Mailing address
PO BOX 508, WALNUT COVE, NC 27052-0508
(336) 591-7234
(336) 591-8230
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
MHL-085-002
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603055
—
NC
Enumeration date
10/17/2006
Last updated
08/22/2020
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