Organization
CHATHAM COUNTY GROUP HOMES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE BURNS (FINANCE MANAGER)
(919) 742-2510
Entity
Organization
Contact information
Practice address
813 TANGLEWOOD DR, SILER CITY, NC 27344-2327
(919) 742-5911
Mailing address
217 E BEAVER ST, PO BOX 207, SILER CITY, NC 27344-3403
(919) 742-2510
(919) 742-3984
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-0190-028
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803630
—
NC
Enumeration date
03/26/2007
Last updated
08/22/2020
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