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RESIDENTIAL OPTION SERVING ADOLESCENTS LLC NPI 1578160552


NPI Information

NPI: 1578160552
Provider Name: RESIDENTIAL OPTION SERVING ADOLESCENTS, LLC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
2316 CARVED TREE LN
CHARLOTTE, NC
ZIP 28262
Phone: (704) 622-4918
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RESIDENTIAL OPTION SERVING ADOLESCENTS, LLC is a residential treatment facility emotionally disturbed children in Charlotte, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. RESIDENTIAL OPTION SERVING ADOLESCENTS, LLC NPI is 1578160552. The provider is registered as an organization entity type.

The provider's business location address is:

2316 CARVED TREE LN
CHARLOTTE, NC
ZIP 28262-154
Phone: (704) 622-4918

The provider's authorized official is Lori Ann Washington .
The authorized official title is Director and has the following contact phone number (704) 622-4918.

The enumeration date for this NPI number is 10/3/2020 and was last updated on 10/3/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
23245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenNo
3322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

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: 4/28/2024

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