Organization · Type 2 NPI

Back 2 Lyfe Outreach Services, Inc

Community/Behavioral Health Agency · Charlotte, NC

NPI number 1114607637 Active

Practice location

1914 J N Pease Pl
Charlotte, NC 28262-4504

Mailing address

109 Stock Ln
Mooresville, NC 28115-9720

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1114607637

Back 2 Lyfe Outreach Services, Inc's National Provider Identifier is 1114607637, issued on Jul 19, 2023. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 27, 2023.