Bertha's Place, Inc.
NPI #1063569127 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1063569127
- Entity Type
- Organization
- Organization Name
- Bertha's Place, Inc.
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Jan 4, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3412 GREEN MEADOW DR.
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28269-2982
- Phone
- (704) 598-5106
Authorized Official
- Name
- MR. WAYNE LOUIS GARRIS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (704) 598-5106
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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