NPI 1023132560

Community Housing Group Home

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Hickory, NC

Practice location

Address: 1018 5th St SE, Hickory, NC 28602
Phone: (828) 695-5900
Fax: (828) 695-4256
Mailing address: 3050 11th Avenue Dr SE, Hickory, NC 28602-8336

Authorised official

Name: Sharon L Lynch
Title: Financial Manager
Phone: (828) 695-5900

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Carolina →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in North Carolina →

Registry record

NPI: 1023132560
Entity type: Organization
NPI issued: 19 Mar 2007
Record last updated: 15 May 2018

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.