Stonesthrow Group Home

NPI #1518101401 in Summerfield, North Carolina

Provider Information

NPI Number
1518101401
Entity Type
Organization
Organization Name
Stonesthrow Group Home
Subpart
Yes (part of a larger organization)
Parent Organization
ALBERTA PROFESSIONAL SERVICES, INC.
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Apr 23, 2009
Last Updated
Apr 23, 2009

Practice Location

Address
3978 LEWISTON RD
ZIP Code
27358-9211
Phone
(336) 644-9518

Authorized Official

Name
MR. DEREK MITCHELL, BS, QP
Title
OPERATIONS MANAGER
Phone
(336) 273-2640

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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