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Passionate Care Group Home
Mental Illness Community Based Residential Treatment Facility in Clayton, North Carolina
NPI 1104940782

Passionate Care Group Home is a Mental Illness Community Based Residential Treatment Facility based in Stratford, NC. Passionate Care Group Home practices in Clayton, NC. The NPI Number for Passionate Care Group Home is 1104940782 and holds a License No. MHL 051144 (North Carolina).

The current practice location address for Passionate Care Group Home is 105 Walnut Creek Drive, Clayton, NC and can be reached out via phone at 919-332-2171.

Location: 105 Walnut Creek Drive, Clayton, NC, 06615-7172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104940782
Provider Name
Passionate Care Group Home
Credential
Provider Entity Type
Organization
Address
105 Walnut Creek Drive, Clayton, NC, 06615-7172
Phone Number
919-332-2171
Fax Number
Provider Enumeration Date
03/19/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7805103 01 NC PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
105 Walnut Creek Drive
City
Clayton
State
North Carolina
Zip
27520-7242
Phone Number
919-332-2171
Fax Number
person
Provider Business Mailing Address Details
Address
105 Walnut Creek Drive
City
Clayton
State
North Carolina
Zip
27520-7242
Phone Number
919-332-2171
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
MHL 051144 (North Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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