CONCRETE ROSES LIFE CENTER NPI 1508360892

NPI Information

NPI: 1508360892
Provider Name: CONCRETE ROSES LIFE CENTER
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
5960 FAIRVIEW RD STE 323
CHARLOTTE, NC
ZIP 28210
Phone: (980) 263-0991
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CONCRETE ROSES LIFE CENTER is a mental health (including community mental health center) clinic center in Charlotte, NC. CONCRETE ROSES LIFE CENTER NPI is 1508360892. The provider is registered as an organization entity type.

The provider's business location address is:

5960 FAIRVIEW RD STE 323
CHARLOTTE, NC
ZIP 28210-102
Phone: (980) 263-0991

The provider's authorized official is Shaukura Mandisa Brown .
The authorized official title is Ceo and has the following contact phone number (980) 263-0991.

The enumeration date for this NPI number is 3/21/2018 and was last updated on 9/2/2021.

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	Primary
1	251B00000X	Case Management		No
2	251C00000X	Day Training, Developmentally Disabled Services		No
3	251S00000X	Community/Behavioral Health		No
4	251V00000X	Voluntary or Charitable		No
5	261QA0600X	Clinic/Center	Adult Day Care	No
6	261QD1600X	Clinic/Center	Developmental Disabilities	No
7	261QM0850X	Clinic/Center	Adult Mental Health	No
8	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
9	261QP0904X	Clinic/Center	Public Health, Federal	No
10	261QP0905X	Clinic/Center	Public Health, State or Local	No
11	261QP2000X	Clinic/Center	Physical Therapy	No
12	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	No
13	385HR2050X	Respite Care	Respite Care Camp	No
14	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	No
15	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

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: 11/14/2023

NPI Synchronization or Removal

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