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NPI 1720142847 · Emotionally Disturbed Childrens' Residential Treatment Facility · Kings Mtn, NC
Provider details
- NPI number
- 1720142847
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Vernon Grier, Chief Executive Officer
- License
- MHL030463 (NC)
Practice location
606 Hillside Dr
Kings Mtn, NC 28086-3219
Phone: (704) 864-4623
Fax: (704) 864-3331
Mailing address
Po Box 3707
Gastonia, NC 28054-0020
Registry dates
- Enumerated
- 2006-12-21
- Last updated
- 2007-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.