Organization · Type 2 NPI
Envisions of Life LLC
Mental Illness Community Based Residential Treatment Facility · Jonesville, NC
NPI number
1386195840
Active
Practice location
449 W Main St
Jonesville, NC 28642-2130
Fax (336) 887-1085
Mailing address
5 Centerview Dr Ste 110
Greensboro, NC 27407-3709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 099-029 (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.
About NPI 1386195840
Envisions of Life LLC's National Provider Identifier is 1386195840, issued on Oct 20, 2016. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Jonesville, NC. The record was last updated on Sep 1, 2017.