Organization
AYA HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS PERCIVAL BROWN CPSS (DIRECTOR)
(704) 939-9629
Entity
Organization
Contact information
Practice address
1572 DALE EARNHARDT BLVD, KANNAPOLIS, NC 28083-3208
(704) 939-9629
Mailing address
1572 DALE EARNHARDT BLVD, KANNAPOLIS, NC 28083-3208
(704) 939-9629
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/29/2019
Last updated
12/18/2024
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