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Realistic Change By C.h.o.i.c.e. @ Winchester Ii
Mental Illness Community Based Residential Treatment Facility in Troutman, North Carolina
NPI 1700167350

Realistic Change By C.h.o.i.c.e. @ Winchester Ii is a Mental Illness Community Based Residential Treatment Facility based in Troutman, NC. Realistic Change By C.h.o.i.c.e. @ Winchester Ii practices in Troutman, NC. The NPI Number for Realistic Change By C.h.o.i.c.e. @ Winchester Ii is 1700167350 and holds a License No. MHL 049-132 (North Carolina).

The current practice location address for Realistic Change By C.h.o.i.c.e. @ Winchester Ii is 320 Winchester Rd, Troutman, NC and can be reached out via phone at 704-528-2044 and via fax at 704-528-2077.

Location: 320 Winchester Rd, Troutman, NC, 28166-0570
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700167350
Provider Name
Realistic Change By C.h.o.i.c.e. @ Winchester Ii
Credential
Provider Entity Type
Organization
Address
320 Winchester Rd, Troutman, NC, 28166-0570
Phone Number
704-528-2044
Fax Number
704-528-2077
Provider Enumeration Date
09/08/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45239256 01 NC EIN
institution
Provider Business Practice Location Address Details
Address
320 Winchester Rd
City
Troutman
State
North Carolina
Zip
28166-9644
Phone Number
704-528-2044
Fax Number
704-528-2077
person
Provider Business Mailing Address Details
Address
320 Winchester Rd
City
Troutman
State
North Carolina
Zip
28166-9644
Phone Number
704-528-2044
Fax Number
704-528-2077
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
MHL 049-132 (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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