Organization · Type 2 NPI
Envisions of Life, LLC
Mental Illness Community Based Residential Treatment Facility · Greensboro, NC
NPI number
1881891695
Active
Practice location
4003 Gatwick Ct
Greensboro, NC 27406-8573
Fax (336) 887-1085
Mailing address
5 Centerview Dr., Ste 110
Greensboro, NC 27407-3709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 041-699 (NC) |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | MHL 041 699 (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.
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About NPI 1881891695
Envisions of Life, LLC's National Provider Identifier is 1881891695, issued on Jun 27, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Greensboro, NC. The record was last updated on Mar 8, 2017.