Organization
BARBARA'S HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA MILLER (BILLING DIRECTOR)
(704) 219-4720
Entity
Organization
Contact information
Practice address
100 MELROSE AVE STE 100, GREENWICH, CT 06830-6277
(203) 869-1276
Mailing address
10130 MALLARD CREEK RD STE 343, CHARLOTTE, NC 28262-6000
(704) 219-4720
(888) 323-4404
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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