NPI 1023269610

Kathryn V Jordan, QMHP

Practitioner Emotionally Disturbed Childrens' Residential Treatment Facility Taylorsville, NC

Practice location

Address: 3122 Vashti Rd, Taylorsville, NC 28681-6828
Phone: (336) 644-3510
Mailing address: 763 Shady Hanes Rd, Lexington, NC 27295-8604

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: 1023269610
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Oct 2008
Record last updated: 1 Oct 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.