Individual provider · Type 1 NPI

Katrina Renee Bryant, MS, LCAS

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Charlotte, NC

NPI number 1730960741 Active

Practice location

5017 Elizabeth Rd
Charlotte, NC 28269-4534

Fax (704) 825-8356

Mailing address

1213 W Morehead St Fl 5
Charlotte, NC 28208-5576

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1730960741

Katrina Renee Bryant, MS, LCAS's National Provider Identifier is 1730960741, issued on Oct 6, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Charlotte, NC. The record was last updated on Oct 6, 2023.