Individual provider · Type 1 NPI
Perry Tanis Watkins, MPA
Emotionally Disturbed Childrens' Residential Treatment Facility · Charlotte, NC
Practice location
6120 Carriage Oaks Dr
Charlotte, NC 28262-3253
Fax (704) 378-0363
Mailing address
PO Box 217125
Charlotte, NC 28221-0125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | MHL-081-074 (NC) |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Another provider at this address
About NPI 1659555183
Perry Tanis Watkins, MPA's National Provider Identifier is 1659555183, issued on Dec 19, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Charlotte, NC. The record was last updated on Dec 19, 2007.