Organization · Type 2 NPI
Wicker Street Group Home
Assisted Living Facility (Mental Illness) · Burlington, NC
Practice location
1620 Flora Ave
Burlington, NC 27217-1018
Fax (336) 227-4350
Mailing address
PO Box 981
Haw River, NC 27258-0981
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility (Mental Illness) Primary | 3104A0625X | 001-217 (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.
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About NPI 1861780322
Wicker Street Group Home's National Provider Identifier is 1861780322, issued on Jul 19, 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 Feb 12, 2025.