Organization
CEDAR TREE MINISTRIES, INC
Active
Other names
JOSIE'S PLACE
Organization subpart
No
Provider details
NPI number
Authorized official
SAUNDRA R FANTI (ADMINISTRATOR)
(910) 846-5635
Entity
Organization
Contact information
Practice address
3507 STRATFORD BLVD, WILMINGTON, NC 28403-2634
(910) 313-1768
Mailing address
1515 MORGAN ROAD SW, SUPPLY, NC 28462-3135
(910) 846-5635
(910) 842-5720
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-065-182
NC
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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