Organization
IVEY HOUSE LLC
Active
Organization
IVEY HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHANEL QUICK MA (CEO)
(910) 434-4763
Entity
Organization
Contact information
Practice address
1417 MADISON ST, HIGH POINT, NC 27262-2655
(910) 434-4763
Mailing address
4207 TRISTON DR, GREENSBORO, NC 27407-7547
(910) 434-4763
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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