Organization
HARTSELLS TEEN FOCUS,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA FAGAN HARTSELL RN (EXCUTIVE DIRECTOR)
(336) 442-1805
Entity
Organization
Contact information
Practice address
323 NC HWY 62 EAST, GREENSBORO, NC 27406
(336) 442-1805
(336) 434-0175
Mailing address
5952 GILBERT DAVIS DR, RANDLEMAN, NC 27317-7177
(336) 442-1805
(336) 434-0175
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-041-836
NC
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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