Organization · Type 2 NPI
Illumi-Nation Care Home
Mental Illness Community Based Residential Treatment Facility · Tarboro, NC
NPI number
1891085247
Active
Practice location
7806 Hwy 42 East
Tarboro, NC 27886
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | MHL-033-114 (NC) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MHL-033-114 (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 1891085247
Illumi-Nation Care Home's National Provider Identifier is 1891085247, issued on Apr 19, 2011. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Tarboro, NC. The record was last updated on Aug 29, 2012.