Organization
FOCUS POINT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENYATTA WADDELL (CEO)
(704) 865-4308
Entity
Organization
Contact information
Practice address
1664 PLYLER LAKE RD, GASTONIA, NC 28054-3603
(704) 865-4308
Mailing address
PO BOX 19854, CHARLOTTE, NC 28219-0854
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603799
—
NC
Enumeration date
11/03/2009
Last updated
11/20/2009
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