Realistic Change by C.H.O.I.C.E., Inc. @ Valleybrook I
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Troutman, NC
NPI 1265713432 · NPPES record last updated Jun 20, 2018
Key facts
- NPI
- 1265713432
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- License
- MHL 049-129 (NC)
- Legal business name
- REALISTIC CHANGE BY C.H.O.I.C.E., INC. @ VALLEYBROOK I
- Practice address
- 245 Valleybrook LN
Troutman, NC 28166-9645 - Phone
- (704) 528-2044
- Fax
- (704) 528-2077
- NPI assigned
- Sep 1, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Rhonda Corpening, MSW
- Title
- Clinical Director, C.E.O.
- Phone
- (704) 528-2044
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Realistic Change by Choice Inc Valleybrook I
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | MHL 049-129 | NC | Yes |
Addresses
Primary practice location
245 Valleybrook LN
Troutman, NC 28166-9645
Mailing address
PO Box 570
Troutman, NC 28166-0570
Phone (704) 582-2044
Other providers in Troutman, NC
- Piedmont Healthcare, PA
- Piedmont Healthcare, PA
- Jeanne Catherine Pierce
- Realistic Change by C.H.O.I.C.E. @ Winchester I
- Realistic Change by C.H.O.I.C.E. @ Winchester II
- Realistic Change by C.H.O.I.C.E., Inc. @ Valleybrook II
- Rockwell Development Center Inc
- Shane Sarley
- Shirley'S Enrichment House, LLC
- Russell E Smith
All providers in Troutman, NC · Mental Illness Community Based Residential Treatment Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.