Organization
THE FAITH-COURAGE HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAE E. MARTIN (OWNER/DIRECTOR)
(336) 453-8485
Entity
Organization
Contact information
Practice address
1106 DELK DR, HIGH POINT, NC 27262-3420
(336) 884-7061
(336) 884-0502
Mailing address
PO BOX 5884, HIGH POINT, NC 27262-5884
(336) 884-7061
(336) 884-0502
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-041-841
NC
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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