NPI 1619532892
Ck41 Facilities LLC
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
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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.