Organization
ROOTED WITHIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARNE OWENSBY (EXECUTIVE DIRECTOR)
(202) 873-3119
Entity
Organization
Contact information
Practice address
711 SYLVAN ST SW, CONCORD, NC 28025-5690
(202) 873-3119
Mailing address
400 GILEAD RD PO BOX 19, HUNTERSVILLE, NC 28078
(202) 873-3119
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/07/2024
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