Organization
UNITED FAMILY NETWORK AT RIDGE ROAD
Active
Other names
United Family Network Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER SIMMONS I (EXECUTIVE DIRECTOR)
(910) 578-6806
Entity
Organization
Contact information
Practice address
1259 RIDGE RD, ANGIER, NC 27501-8321
(910) 578-6806
Mailing address
1259 RIDGE RD, ANGIER, NC 27501-8321
(910) 578-6806
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL051151
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603983
—
NC
Enumeration date
06/28/2007
Last updated
09/22/2008
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