Organization · Type 2 NPI
Sedalia Center #1
Mental Illness Community Based Residential Treatment Facility · Gibsonville, NC
NPI number
1790997542
Active
Practice location
6141 Blue Lantern Rd
Gibsonville, NC 27249-8737
Fax (336) 272-6359
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | MHL-041-779 (NC) |
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.
About NPI 1790997542
Sedalia Center #1's National Provider Identifier is 1790997542, issued on May 4, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Gibsonville, NC. The record was last updated on Jun 30, 2008.