NPI 1063606861
My Brothers House INC.
Practice location
- Address
- 8525 Woofford Bridge Drive, Charlotte, NC 28216-6612
- Phone
- (704) 532-4770
- Mailing address
- 4822 Albemarle Rd STE 105, Charlotte, NC 28205-6612
Authorised official
- Name
- Richard Taylor
- Title
- Ceo
- Phone
- (704) 532-4770
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1063606861
- Entity type
- Organization
- NPI issued
- 5 Sep 2007
- Record last updated
- 5 Sep 2007
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.