# ESSENTIALLY LIVING INC

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

## Provider details

- **NPI number:** 1689716102
- **Authorized official:** MR. AARON ANDERSON (CEO)
- **Authorized official phone:** (704) 913-5779

## Contact information

- **Practice address:** 301 S BATTLEGROUND AVE, KINGS MOUNTAIN, NC 28086-3601
- **Practice address phone:** (704) 739-3997
- **Practice address fax:** (704) 739-6420
- **Mailing address:** PO BOX 1593, KINGS MOUNTAIN, NC 28086-1593
- **Mailing address phone:** (704) 739-3997
- **Mailing address fax:** (704) 739-6420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-023-092 | NC | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 09/11/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6604127 | — | NC |