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Organization

CARING ARMS YOUTH AND FAMILY SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ROSALYN JACKSON (OWNER - PROGRAM ADMINISTRATOR)
(704) 510-1600
Entity
Organization

Contact information

Practice address
416 MCCULLOUGH DR, SUITE 130, CHARLOTTE, NC 28262-4389
(704) 510-1600
(704) 510-9222
Mailing address
416 MCCULLOUGH DR, SUITE 130, CHARLOTTE, NC 28262-4389
(704) 510-1600
(704) 510-9222

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
NC
251S00000X
Community/Behavioral Health Agency
Primary
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-0410713
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-060-883
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5915734
NC
05
6008004
NC
05
6603438
NC
05
6603738
NC
05
8301556
NC
05
8301572
NC
05
8303174
NC
Enumeration date
01/19/2007
Last updated
02/18/2011
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