NPI 1114069119

My Brothers House INC.

Organisation Psychiatric Residential Treatment Facility Charlotte, NC

Practice location

Address: 4822 Albemarle Rd STE 105, Charlotte, NC 28205-6612
Phone: (704) 532-4770
Fax: (704) 532-4774
Mailing address: 4822 Albemarle Rd Suite 105, Charlotte, NC 28205-6668

Authorised official

Name: Richard Taylor
Title: Ceo
Phone: (704) 532-4770

Registered specialties (6)

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 092-519 (NC)

Other Psychiatric Residential Treatment Facility providers in North Carolina →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in North Carolina →

Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X

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

Psychiatric Residential Treatment Facility

Residential Treatment Facilities Taxonomy 323P00000X Licence 060-757 (NC)

Psychiatric Residential Treatment Facility

Residential Treatment Facilities Taxonomy 323P00000X Licence 060-538 (NC)

Psychiatric Residential Treatment Facility

Residential Treatment Facilities Taxonomy 323P00000X Licence 060-467 (NC)

Registry record

NPI: 1114069119
Entity type: Organization
NPI issued: 13 Feb 2007
Record last updated: 3 Jul 2019

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.