Individual provider · Type 1 NPI

Timothy Scott

Mental Illness Community Based Residential Treatment Facility · Charlotte, NC

NPI number 1629911839 Active

Practice location

1936 Wildlife Rd
Charlotte, NC 28214-8457

Call (980) 766-0233 Map

Mailing address

13000 S Tryon St # F-279
Charlotte, NC 28278-7652

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone 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 1629911839

Timothy Scott's National Provider Identifier is 1629911839, issued on Apr 13, 2026. 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 Apr 13, 2026.