| NPI | 1043308612 | 
|---|---|
| Former Legal Business Name | GROUP HOMES OF FORSYTH, INC. | 
| Entity Type | Organization | 
| Authorized Contact | CHARLENE WARREN Executive Director 336-831-1300  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-034-367)  | 
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC MHL-034-367)  | 
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-034-367)  | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL034152)  | |
| Enumeration Date | 2006-10-10 | 
| Last Update Date | 2018-02-19 |