NPI 1013393842

Blackwell's Community Living

Organisation Mental Illness Community Based Residential Treatment Facility Burlington, NC

Practice location

Address: 2406 Ashton Park Ln, Burlington, NC 27215-6310
Phone: (336) 317-1926
Mailing address: 426 Somers Ave, Burlington, NC 27215-2032

Authorised official

Name: Robin Blackwell
Title: Owner
Phone: (336) 317-1926

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in North Carolina →

Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in North Carolina →

Registry record

NPI: 1013393842
Entity type: Organization
NPI issued: 4 Aug 2015
Record last updated: 4 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.