Cedar Tree Ministries, Inc
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Supply, NC
NPI 1447340591 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1447340591
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- License
- MHL-010-052 (NC)
- Legal business name
- CEDAR TREE MINISTRIES, INC
- Practice address
- 1571 Morgan Rd SW
Supply, NC 28462-3135 - Phone
- (910) 846-2011
- Fax
- (910) 846-2311
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Saundra Rochelle Fanti
- Title
- Administrator
- Phone
- (910) 846-5635
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Cedar Tree Ministries Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | MHL-010-052 | NC | Yes |
Addresses
Primary practice location
1571 Morgan Rd SW
Supply, NC 28462-3135
Mailing address
1565 Morgan Rd SW
Supply, NC 28462-3135
Phone (910) 846-5635
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6603844 | Medicaid | NC |
Other names
- BIRGES HOME
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All providers in Supply, NC · Emotionally Disturbed Childrens' 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 Aug 22, 2020. 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.