Organization · Type 2 NPI
2nd II None- Hanna Group Home
Mental Illness Community Based Residential Treatment Facility · Charlotte, NC
NPI number
1366633075
Active
Practice location
6315 Hanna Ct
Charlotte, NC 28212-2192
Fax (704) 566-6136
Mailing address
PO Box 481972
Charlotte, NC 28269-5331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | MHL-060-1025 (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 1366633075
2nd II None- Hanna Group Home's National Provider Identifier is 1366633075, issued on Aug 7, 2007. 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 Aug 21, 2007.