Our Fathers Place INC
NPI #1346303187 in Statesville, North Carolina
Provider Information
- NPI Number
- 1346303187
- Entity Type
- Organization
- Organization Name
- Our Fathers Place INC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Dec 19, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 413 STOCKTON STREET
- City
- Statesville
- State
- North Carolina
- ZIP Code
- 28677-5325
- Phone
- (704) 872-0313
Authorized Official
- Name
- MR. JAMES RUSSELL LINTON, MED
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (704) 684-0197
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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