MEDICARE: FOCUS POINT INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility	MHL-023-139	NC

General Provider Information

NPI Number	:	1992919948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOCUS POINT INC

Provider Business Mailing Address
First Line	:	129 MILL CREEK DR
Second Line	:
City	:	KINGS MTN
State	:	NC
Zip	:	28086-3898
Country	:	US
Telephone Number	:	704-363-1309
Fax Number	:	704-782-9299

Provider Business Practice Location Address
First Line	:	129 MILL CREEK DR
Second Line	:
City	:	KINGS MTN
State	:	NC
Zip	:	28086-3898
Country	:	US
Telephone Number	:	704-363-1309
Fax Number	:	704-782-9299

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KENYATTA WADDELL
Credential	:
Telephone Number	:	704-363-1309

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	10/21/2008

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Directions to “FOCUS POINT INC ” Practice Location

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