Organization
THE HOUSE OF CHARITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHACOBIAN LASHELLE THOMAS (DIRECTOR)
(336) 509-0462
Entity
Organization
Contact information
Practice address
3208 LOFTYVIEW DR, HIGH POINT, NC 27260-2618
(336) 289-7621
(336) 510-9463
Mailing address
1408 WOODGREEN DR, GREENSBORO, NC 27405-4030
(336) 289-7621
(336) 510-9463
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-041-854
NC
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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