Organization
CATAWBA COUNTY DSS
Active
Other names
Corner House I
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL DAWN MCMILLAN MA, QP (RESIDENTIAL SERVICES MANAGER)
(828) 464-6840
Entity
Organization
Contact information
Practice address
1116 RADIO STATION RD, NEWTON, NC 28658-9479
(828) 464-6307
Mailing address
1116 RADIO STATION RD, NEWTON, NC 28658-9479
(828) 464-6307
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL018060
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603263
—
NC
Enumeration date
02/16/2007
Last updated
08/22/2020
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