Individual provider · Type 1 NPI
Charlmayne Seaberry Alston
Mental Illness Community Based Residential Treatment Facility · Knightdale, NC
NPI number
1619186970
Active
Practice location
1733 Hodge Rd
Knightdale, NC 27545-9588
Fax (919) 872-5412
Mailing address
6701 Litchford Rd
Raleigh, NC 27615-7112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | MHL092247 (NC) |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | MHL092631 (NC) |
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | MHL092633 (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.
Other mental illness community based residential treatment facility providers in Knightdale
About NPI 1619186970
Charlmayne Seaberry Alston's National Provider Identifier is 1619186970, issued on May 22, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Knightdale, NC. The record was last updated on Jul 2, 2008.