Organization
EQUANIMITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOT EATON (EXECUTIVE DIRECTOR)
(704) 309-6837
Entity
Organization
Contact information
Practice address
13237 FREMINGTON RD, HUNTERSVILLE, NC 28078-5734
(704) 309-6837
Mailing address
PO BOX 1585, HUNTERSVILLE, NC 28070-1585
(704) 309-6837
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NCC748
—
NC
Enumeration date
01/19/2021
Last updated
01/19/2021
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