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Organization

INNERCHANGE YOUTH HOMES LLC

Active
Other names
Innerchange Youth Division 1
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DINA CATRESS SAWYER B/S IN CRIMINAL JUST (OWNER/DIRECTOR)
(704) 458-1356
Entity
Organization

Contact information

Practice address
724 RAINDROPS RD, GASTONIA, NC 28054-1779
(704) 884-0096
(704) 884-0097
Mailing address
P.O. BOX 36448, CHARLOTTE, NC 28236-6448
(704) 884-0096
(704) 884-0097

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL036260
NC

Other

Enumeration date
09/23/2008
Last updated
09/23/2008
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