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Organization

JORDAN'S PLACE OF PEACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TONYA LYNETTE HARDEN RN, BSN (OWNER/OPERATOR)
(336) 402-0875
Entity
Organization

Contact information

Practice address
7659 JACKSON SCHOOL RD, BROWNS SUMMIT, NC 27214-9706
(336) 402-0875
Mailing address
3636 SWEET BIRCH DR, GREENSBORO, NC 27406-9500
(336) 402-0875

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
320800000X
Mental Illness Community Based Residential Treatment Facility
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility

Other

Enumeration date
11/07/2025
Last updated
12/08/2025
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