Individual provider · Type 1 NPI
W Yvonne Harris
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Charlotte, NC
Practice location
5809 Twin Brook Dr
Charlotte, NC 28269-1691
Mailing address
PO Box 38313
Charlotte, NC 28278-1005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 457232 (NC) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Charlotte
About NPI 1003092875
W Yvonne Harris's National Provider Identifier is 1003092875, issued on Jan 11, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Charlotte, NC. The record was last updated on Jan 11, 2008.