Organization
SUWS OF THE CAROLINAS
Active
Parent organization
CRC HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRC HEALTH
Authorized official
MRS. LEAH MADAMBA LPC, NCC (PROGRAM DIRECTOR)
(828) 668-7590
Entity
Organization
Contact information
Practice address
363 GRAPHITE RD, OLD FORT, NC 28762-9455
(828) 668-7590
(828) 668-3162
Mailing address
363 GRAPHITE RD, OLD FORT, NC 28762-9455
(828) 668-7590
(828) 668-3162
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-059-032
NC
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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