Organization
EBENEZER CHRISTIAN CHILDRENS HOME
Active
Other names
Ebenezer Garden Christian Childrens Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN DAVIS (EXECUTIVE DIRECTOR)
(336) 667-5683
Entity
Organization
Contact information
Practice address
1006 BYRD RIDGE RD, NORTH WILKESBORO, NC 28659-8044
(336) 667-5683
(336) 667-8634
Mailing address
P.O. BOX 2777, NORTH WILKESBORO, NC 28659-2777
(336) 667-5683
(336) 667-8634
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-097-061
NC
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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