Organization · Type 2 NPI
Innovative Compliance Solutions
Mental Illness Community Based Residential Treatment Facility · Gastonia, NC
NPI number
1336587146
Active
Practice location
4912 Duncan Ln
Gastonia, NC 28056-9361
Fax (704) 874-1803
Mailing address
PO Box 38514
Charlotte, NC 28278-1009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 036-309 (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 1336587146
Innovative Compliance Solutions's National Provider Identifier is 1336587146, issued on Jun 13, 2013. 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 Feb 3, 2017.