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NPI 1023132560 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hickory, NC
Provider details
- NPI number
- 1023132560
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Sharon Lynch, Financial Manager(828) 695-5900
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1018 5th St Se
Hickory, NC 28602
Phone: (828) 695-5900
Fax: (828) 695-4256
Street-level locationGet directions
Mailing address
3050 11th Avenue Dr Se
Hickory, NC 28602-8336
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2018-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.