Organization · Type 2 NPI
Shirley's Enrichment House, LLC
Mental Illness Community Based Residential Treatment Facility · Troutman, NC
NPI number
1104742790
Active
Practice location
169 Tackle Box Dr
Troutman, NC 28166-0140
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 1104742790
Shirley's Enrichment House, LLC's National Provider Identifier is 1104742790, issued on Jun 26, 2026. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Troutman, NC. The record was last updated on Jun 26, 2026.