Our Fathers Place Inc

NPI 1275637423 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1275637423
Enumeration Date 09/09/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JAMES RUSSELL JAMES
Position CHIEF EXECUTIVE OFFICER
Phone (704) 872-0313
Fax (704) 872-7787
Practice Location
256 EAST BROAD STREET
STATESVILLE NC, 28677, US
Phone (704) 872-0313
Fax (704) 872-7787
Business Location
256 EAST BROAD STREET
STATESVILLE NC, 28677, US
Phone (704) 872-0313
Fax (704) 872-7787
Toxanomy
Taxonomy Code 320800000X
License State
License Number
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According to our database, Our Fathers Place Inc NPI is 1275637423, taxonomy code is 320800000X Our Fathers Place Inc physically located at 256 East Broad Street, Statesville NC, 28677. NPI Number 1033115704 has the healthcare provider type.

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1275637423 NPI number is provided on an as is basis without warranty of any kind. 1275637423 is maintained by the National Plan & Provider Enumeration System. The contents of Our Fathers Place Inc are for informational purposes only.