# UNITED TREATMENT FACILITY, INC

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

## Provider details

- **NPI number:** 1346338233
- **Authorized official:** MR. JAMES R SINGLETON BS QMHP (EXECUTIVE DIRECTOR / OWNER)
- **Authorized official phone:** (704) 466-0046

## Contact information

- **Practice address:** 5004 COMMUNITY CIR, CHARLOTTE, NC 28215-1550
- **Practice address phone:** (704) 569-9192
- **Practice address fax:** (704) 569-7912
- **Mailing address:** PO BOX 9329, CHARLOTTE, NC 28299-9329
- **Mailing address phone:** (704) 466-0046
- **Mailing address fax:** (704) 569-7912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 060595 | NC | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 060844 | NC | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 09/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | MHL 060 1012 | NC LICENSE | NC |
| 01 | — | MHL 060 595 | NC LICENSE | NC |
| 01 | — | MHL 060 696 | NC LICENSE | NC |
| 01 | — | MHL 060 844 | NC LICENSE | NC |