Organization · Type 2 NPI

Lifespan, Inc

Community/Behavioral Health Agency · Troutman, NC

NPI number 1780732040 Active

Practice location

143 Iredell Ave
Troutman, NC 28166-9511

Call (704) 873-5646 Map

Fax (704) 871-9881

Mailing address

1511 Shopton Rd, Suite A
Charlotte, NC 28217-3239

Specialties and licenses

Taxonomy	Code	License
Developmentally Disabled Services Day Training Agency	251C00000X	MHL-049-023 (NC)
Community/Behavioral Health Agency Primary	251S00000X	MHL-049-023 (NC)

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 1780732040

Lifespan, Inc's National Provider Identifier is 1780732040, issued on Jan 5, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Troutman, NC. The record was last updated on Sep 6, 2016.