Whalio Doctors

NPI 1619532892

Ck41 Facilities LLC

Organisation Prevention Professional Charlotte, NC

Practice location

Address
11634 Oak Street, Charlotte, NC 28269
Phone
(252) 469-7141

Authorised official

Name
Kimberly Michelle Lynch
Title
Managing Member
Phone
(125) 246-9714

Registered specialties (3)

Prevention Professional Primary
Other Service Providers Taxonomy 405300000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1619532892
Entity type
Organization
NPI issued
3 May 2019
Record last updated
9 Jul 2021

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.