Organization · NPI-2

2nd II None Foundation

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

NPI number1578610929
StatusActive
Last updated in NPPESJun 25, 2008

Details

NPI
1578610929
Entity type
Organization (NPI-2)
Legal business name
2nd II None Foundation
Organization subpart
No
Enumeration date
Jan 5, 2007
Last updated
Jun 25, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental IllnessMHL-060-575NCYes

Practice location

5312 Bellflower Ln
Charlotte, NC 28227-8103

Phone 704-537-7115

Mailing address

Po Box 481972
Charlotte, NC 28269-5331

Phone 704-566-6134 · Fax 704-566-6136

Authorized official

Jo Ann Harris
Ceo
7047804608

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