Organization
NAZARETH CHILDREN'S HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONNIE DONNELL GLOVER MSW, P-LCSW (CLINICAL SOCIAL WORKER)
(704) 279-5556
Entity
Organization
Contact information
Practice address
725 CRESCENT ROAD, NAZARETH CHILDREN'S HOME, ROCKWELL, NC 28138
(704) 279-5556
Mailing address
P.O.BOX 1438, NAZARETH CHILDREN'S HOME, ROCKWELL, NC 28138
(704) 279-5556
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
P005001
NC
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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