Organization
CORPUS CHRISTI SERVICES, INC.
Active
Other names
Acadiana House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL RENEE MCRAE (PRESIDENT)
(910) 735-2988
Entity
Organization
Contact information
Practice address
20 ACADIANA DR, PARKTON, NC 28371-9050
(910) 858-1629
(910) 858-1604
Mailing address
PO BOX 640, PARKTON, NC 28371-0640
(910) 735-2988
(910) 735-2987
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL078147
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603610
—
NC
Enumeration date
02/21/2007
Last updated
08/22/2020
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