# BROWN RESIDENTIAL SUPPORT SERVICES, INC.

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

## Provider details

- **NPI number:** 1326226572
- **Authorized official:** MR. ANTHONY C. BROWN MA. (CEO/EXECUTIVE DIRECTOR)
- **Authorized official phone:** (704) 307-0060

## Contact information

- **Practice address:** 5523 WINDY VALLEY DR, CHARLOTTE, NC 28208-1191
- **Practice address phone:** (704) 391-5588
- **Practice address fax:** (704) 391-5588
- **Mailing address:** 5523 WINDY VALLEY DR, CHARLOTTE, NC 28208-1191
- **Mailing address phone:** (704) 391-5588
- **Mailing address fax:** (704) 391-5588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/08/2008
- **Last updated:** 02/08/2008