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NPI 1003691544 · Mental Illness Community Based Residential Treatment Facility · Charlotte, NC
Provider details
- NPI number
- 1003691544
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Whittney Williams, Executive Director(336) 500-1570
Specialties & taxonomies
Residential Treatment Facilities
Practice location
2717 Botany St
Charlotte, NC 28216-4431
Phone: (336) 500-1570
Approximate (ZIP-level) locationGet directions
Mailing address
6434 Springbeauty Dr
Charlotte, NC 28227-2573
Registry dates
- Enumerated
- 2023-08-30
- Last updated
- 2023-08-30
- Certified
- 2023-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.