Echo Trail Group Home
NPI #1457528788 in Pfafftown, North Carolina
Provider Information
- NPI Number
- 1457528788
- Entity Type
- Organization
- Organization Name
- Echo Trail Group Home
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NEW-LITE LIVING CHOICES, INC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- May 15, 2008
- Last Updated
- May 15, 2008
Practice Location
- Address
- 1930 ECHO TRL
- City
- Pfafftown
- State
- North Carolina
- ZIP Code
- 27040-9518
- Phone
- (336) 924-6649
Authorized Official
- Name
- STEPHANIE CAHOON
- Title
- BILLING SPECIALIST
- Phone
- (704) 906-8893
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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