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Organization

ROCKWELL DEVELOPMENT CENTER, INC. - WHALEN HOUSE

Active
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Organization

ROCKWELL DEVELOPMENT CENTER, INC. - WHALEN HOUSE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LYNN ELLEN OKE RN, BSN, MS, QP (CHIEF EXECUTIVE OFFICER)
(704) 987-2096
Entity
Organization

Contact information

Practice address
122 ROCKWELL LOOP, MOORESVILLE, NC 28115-9741
(704) 987-2096
(704) 987-2096
Mailing address
122 ROCKWELL LOOP, MOORESVILLE, NC 28115-9741
(704) 987-2096
(704) 987-2096

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-049-099
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-049-099
NC
323P00000X
Psychiatric Residential Treatment Facility
MHL-049-099
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6604016
NC
Enumeration date
01/08/2007
Last updated
12/07/2017
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