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2nd II None- Barnhardt Group Home

Community Based Residential Treatment Facility, Mental Illness in Charlotte, NC. Organization (NPI-2).

NPI number1902097603
StatusActive
Last updated in NPPESNov 7, 2007

Details

NPI
1902097603
Entity type
Organization (NPI-2)
Legal business name
2nd II None- Barnhardt Group Home
Organization subpart
No
Enumeration date
Aug 7, 2007
Last updated
Nov 7, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental IllnessMHL-060-1024NCYes

Practice location

6324 Thermal Rd
Charlotte, NC 28211-5632

Phone 704-566-6134 · Fax 704-566-6136

Mailing address

Po Box 481972
Charlotte, NC 28269-5331

Phone 704-566-6134 · Fax 704-566-6136

Authorized official

Jo Ann Harris
Ceo
7045666134

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