Organization
UNITED TREATMENT FACILITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES R SINGLETON BS QMHP (EXECUTIVE DIRECTOR / OWNER)
(704) 466-0046
Entity
Organization
Contact information
Practice address
5004 COMMUNITY CIR, CHARLOTTE, NC 28215-1550
(704) 569-9192
(704) 569-7912
Mailing address
PO BOX 9329, CHARLOTTE, NC 28299-9329
(704) 466-0046
(704) 569-7912
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
060595
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
060844
NC
Other
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
Enumeration date
10/10/2006
Last updated
09/02/2008
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