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Mrs. Kathryn V Jordan, QMHP
Emotionally Disturbed Childrens' Residential Treatment Facility in Taylorsville, North Carolina
NPI 1023269610

Kathryn V Jordan is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Lexington, NC. Kathryn V Jordan practices in Taylorsville, NC and has the professional credentials of QMHP. The NPI Number for Kathryn V Jordan is 1023269610 and holds a License No. (North Carolina).

The current practice location address for Kathryn V Jordan is 3122 Vashti Rd, Taylorsville, NC and can be reached out via phone at 336-644-3510.

Location: 3122 Vashti Rd, Taylorsville, NC, 27295-8604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023269610
Provider Name
Kathryn V Jordan
Credential
QMHP
Provider Entity Type
Individual
Gender
Female
Address
3122 Vashti Rd, Taylorsville, NC, 27295-8604
Phone Number
336-644-3510
Fax Number
Provider Enumeration Date
10/01/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3122 Vashti Rd
City
Taylorsville
State
North Carolina
Zip
28681-6828
Phone Number
336-644-3510
Fax Number
person
Provider Business Mailing Address Details
Address
3122 Vashti Rd
City
Taylorsville
State
North Carolina
Zip
28681-6828
Phone Number
336-644-3510
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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