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Mrs. Charlmayne Seaberry Alston
Mental Illness Community Based Residential Treatment Facility in Knightdale, North Carolina
NPI 1619186970

Charlmayne Seaberry Alston is a Mental Illness Community Based Residential Treatment Facility based in Raleigh, NC. Charlmayne Seaberry Alston practices in Knightdale, NC. The NPI Number for Charlmayne Seaberry Alston is 1619186970 and holds a License No. MHL092247 (North Carolina).

The current practice location address for Charlmayne Seaberry Alston is 1733 Hodge Rd, Knightdale, NC and can be reached out via phone at 919-798-8638 and via fax at 919-872-5412.

Location: 1733 Hodge Rd, Knightdale, NC, 27615-7112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619186970
Provider Name
Charlmayne Seaberry Alston
Credential
Provider Entity Type
Individual
Gender
Female
Address
1733 Hodge Rd, Knightdale, NC, 27615-7112
Phone Number
919-798-8638
Fax Number
919-872-5412
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7805406 05 NC
7805399 05 NC
institution
Provider Business Practice Location Address Details
Address
1733 Hodge Rd
City
Knightdale
State
North Carolina
Zip
27545-9588
Phone Number
919-798-8638
Fax Number
919-872-5412
person
Provider Business Mailing Address Details
Address
1733 Hodge Rd
City
Knightdale
State
North Carolina
Zip
27545-9588
Phone Number
919-798-8638
Fax Number
919-872-5412
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
MHL092631 (North Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL092247 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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