# MARYE ASSISTANCE GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275392110
- **Authorized official:** PHYLLIS ALLEN (CEO)
- **Authorized official phone:** (704) 574-5921

## Contact information

- **Practice address:** 3315 WRANGLER LN, CHARLOTTE, NC 28213-2169
- **Practice address phone:** (336) 539-0765
- **Mailing address:** 3699 NC-62, BURLINGTON, NC 27217
- **Mailing address phone:** (704) 574-5921
- **Mailing address fax:** (336) 223-7094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 03/14/2024
- **Last updated:** 03/14/2024