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REALISTIC CHANGE BY C.H.O.I.C.E. INC. @ VALLEYBROOK I NPI 1265713432


NPI Information

NPI: 1265713432
Provider Name: REALISTIC CHANGE BY C.H.O.I.C.E., INC. @ VALLEYBROOK I
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
245 VALLEYBROOK LN
TROUTMAN, NC
ZIP 28166
Phone: (704) 528-2044
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REALISTIC CHANGE BY C.H.O.I.C.E., INC. @ VALLEYBROOK I is a community based residential treatment facility mental illness in Troutman, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. REALISTIC CHANGE BY C.H.O.I.C.E., INC. @ VALLEYBROOK I NPI is 1265713432. The provider is registered as an organization entity type.

The provider's business location address is:

245 VALLEYBROOK LN
TROUTMAN, NC
ZIP 28166-645
Phone: (704) 528-2044
Fax: (704) 528-2077

The provider's authorized official is Rhonda Corpening .
The authorized official title is Clinical Director, C.e.o. and has the following contact phone number (704) 528-2044.

The enumeration date for this NPI number is 9/1/2011 and was last updated on 6/20/2018.


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 049-129NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERNORTH CAROLINAEIN

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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