Organization
GOLDENBLUSH CIRCLE GROUP HOME
Active
Parent organization
NEW LITE LIVING CHOICES,INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW LITE LIVING CHOICES,INC
Authorized official
STEPHANIE CAHOON (BILLING SPECIALIST)
(704) 906-8893
Entity
Organization
Contact information
Practice address
416 MCCULLOUGH DR, SUITE 125, CHARLOTTE, NC 28262-4385
(704) 547-1900
Mailing address
6512 GOLDENBLUSH CIR, CHARLOTTE, NC 28269-5102
(704) 948-9701
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603994
—
NC
Enumeration date
05/16/2008
Last updated
05/16/2008
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