Organization
RESIDENTIAL OPTION SERVING ADOLESCENTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANN WASHINGTON (DIRECTOR)
(704) 622-4918
Entity
Organization
Contact information
Practice address
2316 CARVED TREE LN, CHARLOTTE, NC 28262-3154
(704) 622-4918
Mailing address
2316 CARVED TREE LN, CHARLOTTE, NC 28262-3154
(704) 622-4918
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/03/2020
Last updated
10/03/2020
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