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UNION AVENUE GROUP HOME LLC NPI 1316173057


NPI Information

NPI: 1316173057
Provider Name: UNION AVENUE GROUP HOME, LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
210 UNION AVE
BURLINGTON, NC
ZIP 27217
Phone: (336) 404-2003
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UNION AVENUE GROUP HOME, LLC is a community based residential treatment facility mental illness in Burlington, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. UNION AVENUE GROUP HOME, LLC NPI is 1316173057. The provider is registered as an organization entity type.

The provider's business location address is:

210 UNION AVE
BURLINGTON, NC
ZIP 27217-442
Phone: (336) 404-2003
Fax: (336) 226-5097

The provider's authorized official is Michael Mcmillan .
The authorized official title is Diretor and has the following contact phone number (336) 404-2003.

The enumeration date for this NPI number is 6/9/2009 and was last updated on 6/9/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessMHL-001-174NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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