Organization
KATAM INC
Active
Other names
Katam & Associates Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ARISTINE EADY (ADMINISTRATOR)
(910) 630-2105
Entity
Organization
Contact information
Practice address
731 MCGILVARY ST, FAYETTEVILLE, NC 28306-0955
(910) 630-2105
(910) 630-2105
Mailing address
P O BOX 64955, FAYETTEVILLE, NC 28306-0955
(910) 630-2105
(910) 630-2105
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
026335
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710022694
—
NC
Enumeration date
02/20/2007
Last updated
12/04/2007
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