Organization
2ND II NONE- BARNHARDT GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO ANN HARRIS (CEO)
(704) 566-6134
Entity
Organization
Contact information
Practice address
6324 THERMAL RD, CHARLOTTE, NC 28211-5632
(704) 566-6134
(704) 566-6136
Mailing address
PO BOX 481972, CHARLOTTE, NC 28269-5331
(704) 566-6134
(704) 566-6136
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-060-1024
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604220
—
NC
Enumeration date
08/07/2007
Last updated
11/07/2007
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