Organization · Type 2 NPI
Footprints Carolina Inc
Mental Illness Community Based Residential Treatment Facility · Gastonia, NC
NPI number
1093838237
Active
Practice location
970 Roberts Dr
Gastonia, NC 28054-5804
Fax (704) 524-2095
Mailing address
2020 Remount Rd
Gastonia, NC 28054-7437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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About NPI 1093838237
Footprints Carolina Inc's National Provider Identifier is 1093838237, issued on Apr 10, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Gastonia, NC. The record was last updated on Aug 22, 2020.