Organization · Type 2 NPI
Choosing Change Residential Services LLC
Mental Illness Community Based Residential Treatment Facility · Charlotte, NC
NPI number
1528654746
Active
Practice location
6333 Fresh Wind Ave
Charlotte, NC 28212-4557
Mailing address
11709 Fruehauf Dr Ste 225
Charlotte, NC 28273-0043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
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 1528654746
Choosing Change Residential Services LLC's National Provider Identifier is 1528654746, issued on Dec 13, 2020. 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 Dec 13, 2020.