Organization · Type 2 NPI
Passionate Care Group Home
Mental Illness Community Based Residential Treatment Facility · Clayton, NC
NPI number
1104940782
Active
Practice location
105 Walnut Creek Drive
Clayton, NC 27520-7242
Mailing address
727 Honeyspot Rd, Suite 200
Stratford, CT 06615-7172
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | MHL 051144 (NC) |
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 1104940782
Passionate Care Group Home's National Provider Identifier is 1104940782, issued on Mar 19, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Clayton, NC. The record was last updated on Sep 25, 2023.