Organization
2ND II NONE- HANNA GROUP HOME
Active
Organization
2ND II NONE- HANNA GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO ANN HARRIS (CEO)
(704) 566-6134
Entity
Organization
Contact information
Practice address
6315 HANNA CT, CHARLOTTE, NC 28212-2192
(704) 566-6134
(704) 566-6136
Mailing address
PO BOX 481972, CHARLOTTE, NC 28269-5331
(704) 566-6134
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-060-1025
NC
Other
Enumeration date
08/07/2007
Last updated
08/21/2007
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