Organization · Type 2 NPI

Create Your Own Legacy Empowerment Group

Community/Behavioral Health Agency · Charlotte, NC

NPI number 1669305645 Active

Practice location

16316 Old Stone Crossing Dr
Charlotte, NC 28213-4923

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1669305645

Create Your Own Legacy Empowerment Group's National Provider Identifier is 1669305645, issued on Jun 8, 2026. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Charlotte, NC. The record was last updated on Jun 8, 2026.