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Ms. Katrina Renee Bryant, MS,LCAS
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Charlotte, North Carolina
NPI 1730960741

Katrina Renee Bryant is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Charlotte, NC. Katrina Renee Bryant practices in Charlotte, NC and has the professional credentials of MS,LCAS. The NPI Number for Katrina Renee Bryant is 1730960741 and holds a License No. (North Carolina).

The current practice location address for Katrina Renee Bryant is 5017 Elizabeth Rd, Charlotte, NC and can be reached out via phone at 704-325-8336 and via fax at 704-825-8356.

Location: 5017 Elizabeth Rd, Charlotte, NC, 28208-5576
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730960741
Provider Name
Katrina Renee Bryant
Credential
MS,LCAS
Provider Entity Type
Individual
Gender
Female
Address
5017 Elizabeth Rd, Charlotte, NC, 28208-5576
Phone Number
704-325-8336
Fax Number
704-825-8356
Provider Enumeration Date
10/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5017 Elizabeth Rd
City
Charlotte
State
North Carolina
Zip
28269-4534
Phone Number
704-325-8336
Fax Number
704-825-8356
person
Provider Business Mailing Address Details
Address
5017 Elizabeth Rd
City
Charlotte
State
North Carolina
Zip
28269-4534
Phone Number
704-325-8336
Fax Number
704-825-8356
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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