Organization · Type 2 NPI

Mecklenburg Open Door, Inc/rs

Mental Illness Community Based Residential Treatment Facility · Charlotte, NC

NPI number 1104056969 Active

Practice location

3501 E Independence Blvd
Charlotte, NC 28205-7261

Fax (704) 537-6726

Mailing address

1515 Mockingbird Ln, Suite 1015
Charlotte, NC 28209-3236

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone 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.

2 other providers at this address

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About NPI 1104056969

Mecklenburg Open Door, Inc/rs's National Provider Identifier is 1104056969, issued on Jul 15, 2009. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 15, 2009.