Organization
MAG HOUSE II
Active
Other names
Mag House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS BAKER BA (PARTNER)
(336) 558-8628
Entity
Organization
Contact information
Practice address
1104 W MEADOWVIEW RD, GREENSBORO, NC 27406-4142
(336) 558-8628
Mailing address
1104 W MEADOWVIEW RD, GREENSBORO, NC 27406-4142
(336) 558-8628
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
070293
NC
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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