Organization
CK41 FACILITIES LLC
Active
Other names
Partners Who Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MICHELLE LYNCH (MANAGING MEMBER)
(125) 246-9714
Entity
Organization
Contact information
Practice address
11634 OAK STREET, CHARLOTTE, NC 28269
(252) 469-7141
Mailing address
11634 OAK STREET, CHARLOTTE, NC 28269
(252) 469-7141
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
07/09/2021
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