# RESIDENTIAL OPTION SERVING ADOLESCENTS, LLC

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

## Provider details

- **NPI number:** 1578160552
- **Authorized official:** LORI ANN WASHINGTON (DIRECTOR)
- **Authorized official phone:** (704) 622-4918

## Contact information

- **Practice address:** 2316 CARVED TREE LN, CHARLOTTE, NC 28262-3154
- **Practice address phone:** (704) 622-4918
- **Mailing address:** 2316 CARVED TREE LN, CHARLOTTE, NC 28262-3154
- **Mailing address phone:** (704) 622-4918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | — | — | — |

## Other

- **Enumeration date:** 10/03/2020
- **Last updated:** 10/03/2020