Organization · NPI-2

2nd II None Foundation

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

NPI number1407903941
StatusActive
Last updated in NPPESJul 17, 2008

Details

NPI
1407903941
Entity type
Organization (NPI-2)
Legal business name
2nd II None Foundation
Organization subpart
No
Enumeration date
Jan 5, 2007
Last updated
Jul 17, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental IllnessMHL-060-806NCYes

Practice location

7208 Rockwood Forest Ln
Charlotte, NC 28212-6462

Phone 704-532-7523

Mailing address

Po Box 481972
Charlotte, NC 28269-5331

Phone 704-566-6134

Authorized official

Jo Ann Harris
Ceo
7047804608

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community Based Residential Treatment Facility, Mental Illness providers in Charlotte, NC