Organization
NIMON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIJIA NICOLE HOPKINS (OWNER)
(404) 664-0642
Entity
Organization
Contact information
Practice address
1635 PORTER BRANCH DR APT 208, CHARLOTTE, NC 28278-8531
(404) 664-0642
Mailing address
1635 PORTER BRANCH DR APT 208, CHARLOTTE, NC 28278-8531
(404) 664-0642
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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