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W Yvonne Harris
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Charlotte, North Carolina
NPI 1003092875

W Yvonne Harris is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Charlotte, NC. W Yvonne Harris practices in Charlotte, NC. The NPI Number for W Yvonne Harris is 1003092875 and holds a License No. 457232 (North Carolina).

The current practice location address for W Yvonne Harris is 5809 Twin Brook Dr, Charlotte, NC and can be reached out via phone at 704-302-7763.

Location: 5809 Twin Brook Dr, Charlotte, NC, 28278-1005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003092875
Provider Name
W Yvonne Harris
Credential
Provider Entity Type
Individual
Gender
Female
Address
5809 Twin Brook Dr, Charlotte, NC, 28278-1005
Phone Number
704-302-7763
Fax Number
Provider Enumeration Date
01/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5809 Twin Brook Dr
City
Charlotte
State
North Carolina
Zip
28269-1691
Phone Number
704-302-7763
Fax Number
person
Provider Business Mailing Address Details
Address
5809 Twin Brook Dr
City
Charlotte
State
North Carolina
Zip
28269-1691
Phone Number
704-302-7763
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
457232 (North Carolina)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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