Organization
SELECT CARE HOME SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY E CHIDI QPMH/MR/DD (PROGRAM DIRECTOR)
(314) 283-2476
Entity
Organization
Contact information
Practice address
233 GHOLSON AVE, HENDERSON, NC 27536-4547
(314) 283-2476
Mailing address
3406 SOSA RD, RALEIGH, NC 27610-4097
(314) 283-2476
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/17/2009
Last updated
06/18/2009
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