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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