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ASSURED RESOURCE ENVIRONMENT NPI 1336282862


NPI Information

NPI: 1336282862
Provider Name: ASSURED RESOURCE ENVIRONMENT

Other Name: A.R.E.

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1816 MIDDLE ST
GASTONIA, NC
ZIP 28052
Phone: (704) 864-1389
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ASSURED RESOURCE ENVIRONMENT is a community based residential treatment facility mental illness in Gastonia, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. ASSURED RESOURCE ENVIRONMENT NPI is 1336282862. The provider is registered as an organization entity type.
The provider Other Name Is A.r.e..

The provider's business location address is:

1816 MIDDLE ST
GASTONIA, NC
ZIP 28052-626
Phone: (704) 864-1389
Fax: (704) 563-8113

The provider's authorized official is Christopher Wayne Poe .
The authorized official title is Owner Program Director and has the following contact phone number (704) 605-4531.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessMHL-036-227NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16603936OTHERNORTH CAROLINAMEDICAID PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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