NPI 1942421862

Youth Adult Care Management

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Kannapolis, NC

Practice location

Address: 1605 Old Earnhardt Rd, Kannapolis, NC 28083-8025
Phone: (704) 933-3505
Mailing address: PO Box 1013, Concord, NC 28026-1013

Authorised official

Name: Chon Black
Title: Owner
Phone: (704) 933-3505

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: 1942421862
Entity type: Organization
NPI issued: 1 May 2007
Record last updated: 22 Aug 2020

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.