Organization · Type 2 NPI
Church Street Group Home LLC
Assisted Living Facility (Mental Illness) · Burlington, NC
Practice location
1017 S Church St
Burlington, NC 27215-5045
Fax (336) 227-1613
Mailing address
PO Box 1996
Burlington, NC 27216-1996
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility (Mental Illness) Primary | 3104A0625X | MHL-001-213 (NC) |
Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Another provider at this address
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About NPI 1821389776
Church Street Group Home LLC's National Provider Identifier is 1821389776, issued on Apr 27, 2011. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Burlington, NC. The record was last updated on Apr 27, 2011.