Organization · NPI-2

A Safe Place Community Housing, LLC

Residential Treatment Facility, Emotionally Disturbed Children · Charlotte, NC

NPI number1174048078
StatusActive
Last updated in NPPESAug 11, 2017

Details

NPI
1174048078
Entity type
Organization (NPI-2)
Legal business name
A Safe Place Community Housing, LLC
Organization subpart
No
Enumeration date
Aug 11, 2017
Last updated
Aug 11, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
322D00000X Residential Treatment Facility, Emotionally Disturbed Children––Yes

Practice location

2049 Highland St
Charlotte, NC 28208-4909

Phone 704-780-0432

Mailing address

7203 Waldon Park Ln
Charlotte, NC 28214-2385

Phone 704-780-0432

Authorized official

Shaunta Bethea
Program Development
7047800432

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