Organization
CEDARBROOK RESIDENTIAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED H LEONARD MS, LPC, NC LIC. ADM (PRESIDENT)
(828) 652-4633
Entity
Organization
Contact information
Practice address
1267 PINNACLE CHURCH RD, NEBO, NC 28761-5753
(828) 652-4633
Mailing address
PO BOX 1257, MARION, NC 28752-1257
(828) 652-4633
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL059021
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804606
—
NC
Enumeration date
02/21/2007
Last updated
08/22/2020
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