OrganizationActive
Commercial Capital Investment
NPI 1629302534 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Charlotte, NC
Provider details
- NPI number
- 1629302534
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Michael Brooks, Ceo/ Chairman(980) 522-4195
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- Case Management Agency251B00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Residential Treatment Facilities
Practice location
6047 Tyvola Glen Circle
Charlotte, NC 28217
Phone: (980) 522-4195
Fax: (888) 854-8514
Approximate (ZIP-level) locationGet directions
Mailing address
6047 Tyvola Glen Circle
Charlotte, NC 28217
Other names (DBA / former)
- Doing business as
- Cci
Registry dates
- Enumerated
- 2009-09-24
- Last updated
- 2017-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.