Thompson Child & Family Focus
Organization Active NPI Psychiatric Residential Treatment Facility · Lake Waccamaw, NC
NPI 1013262500 · NPPES record last updated Nov 9, 2017
Key facts
- NPI
- 1013262500
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Residential Treatment Facility 323P00000X
- Legal business name
- THOMPSON CHILD & FAMILY FOCUS
- Practice address
- 210 Rube McCray Cir
Lake Waccamaw, NC 28450-1943 - Phone
- (704) 536-0375
- Fax
- (704) 531-9266
- NPI assigned
- Jul 20, 2012
- Organization subpart
- No
Authorized official
- Name
- Mary Elizabeth Porras Kantrowitz
- Title
- Accounts Receivable
- Phone
- (704) 536-0375
Corporate family (same tax ID) 27
National Provider Directory
- Tax ID family
- Thompson Child and Family Focus
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | NC | Yes |
Addresses
Primary practice location
210 Rube McCray Cir
Lake Waccamaw, NC 28450-1943
Mailing address
6800 Saint Peters LN
Matthews, NC 28105-8458
Phone (704) 536-0375
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000 | Medicaid | NC |
Other providers in Lake Waccamaw, NC
- New Opportunities of Columbus Co.
- Danielle Nicole Poteat
- Premier Living and Healthcare Center LLC
- Premier Living and Rehab Center
- Amy Lawson Richardson
- Thompson Child & Family Focus
- Town of Lake Waccamaw
- Stephanie Anne Tucker
- Waccamaw Ultrasound & Diagnostics
- Sarah Thomson Wyche
All providers in Lake Waccamaw, NC · Psychiatric Residential Treatment Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.