NPI 1124051867

Katam INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Fayetteville, NC

Practice location

Address: 731 McGilvary St, Fayetteville, NC 28303-5406
Phone: (910) 630-2105
Mailing address: PO Box 64955, Fayetteville, NC 28306-0955

Authorised official

Name: Mark Allen West
Title: Administrator
Phone: (910) 630-2105

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in North Carolina →

Registry record

NPI: 1124051867
Entity type: Organization
NPI issued: 8 Jul 2006
Record last updated: 2 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.