| Royal Child Home | |
|
6625 Sullins Rd Charlotte NC 28214-4102 | |
| (704) 606-9243 | |
| Not Available |
| Full Name | Royal Child Home |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6625 Sullins Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Nana Afriyie Hinton (CEO) |
| Authorized Official Contact | 7046069243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Royal Child Home 11000 Huntington Meadow Ln Charlotte NC 28273-3440 Ph: (704) 606-9243 | Royal Child Home 6625 Sullins Rd Charlotte NC 28214-4102 Ph: (704) 606-9243 |
| NPI Number | 1336617356 |
|---|---|
| Provider Enumeration Date | 11/07/2018 |
| Last Update Date | 02/26/2022 |
| Certification Date | 02/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336617356 | NPI | - | NPPES |
| 1336617356 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Secondary |
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