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Church Street Group Home Llc
Assisted Living Facility (Mental Illness) in Burlington, North Carolina
NPI 1821389776

Church Street Group Home Llc is an Assisted Living Facility (Mental Illness) based in Burlington, NC and is specialized in Assisted Living, Mental Illness. Church Street Group Home Llc practices in Burlington, NC. The NPI Number for Church Street Group Home Llc is 1821389776 and holds a License No. MHL-001-213 (North Carolina).

The current practice location address for Church Street Group Home Llc is 1017 S Church St, Burlington, NC and can be reached out via phone at 336-227-1613 and via fax at 336-227-1613.

Location: 1017 S Church St, Burlington, NC, 27216-1996
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821389776
Provider Name
Church Street Group Home Llc
Credential
Provider Entity Type
Organization
Address
1017 S Church St, Burlington, NC, 27216-1996
Phone Number
336-227-1613
Fax Number
336-227-1613
Provider Enumeration Date
04/27/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1017 S Church St
City
Burlington
State
North Carolina
Zip
27215-5045
Phone Number
336-227-1613
Fax Number
336-227-1613
person
Provider Business Mailing Address Details
Address
1017 S Church St
City
Burlington
State
North Carolina
Zip
27215-5045
Phone Number
336-227-1613
Fax Number
336-227-1613
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
MHL-001-213 (North Carolina)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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