| Organization Name: | 2ND II NONE- HANNA GROUP HOME |
| NPI Number: | 1366633075 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JO ANN HARRIS (CEO) |
| Mailing Address: | 6315 Hanna Ct Charlotte |
| State: | NC US |
| Postal Code: | 282122192 |
| Phone Number: | 7045666134 |
| Fax Number: | 7045666136 |
| NPI Enumeration Date: | 08/07/2007 |
| NPI Last Update Date: | 08/21/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 320800000X |
| License Number: | MHL-060-1025 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Residential Treatment Facilities |
| Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |