Organization · NPI-2

2nd II None- Hanna Group Home

Community Based Residential Treatment Facility, Mental Illness · Charlotte, NC

NPI number1366633075
StatusActive
Last updated in NPPESAug 21, 2007

Details

NPI
1366633075
Entity type
Organization (NPI-2)
Legal business name
2nd II None- Hanna Group Home
Organization subpart
No
Enumeration date
Aug 7, 2007
Last updated
Aug 21, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental IllnessMHL-060-1025NCYes

Practice location

6315 Hanna Ct
Charlotte, NC 28212-2192

Phone 704-566-6134 · Fax 704-566-6136

Mailing address

Po Box 481972
Charlotte, NC 28269-5331

Phone 704-566-6134

Authorized official

Jo Ann Harris
Ceo
7045666134

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