Provider Demographics
NPI:1821581323
Name:HAPPY DAYS FAMILY DEVELOPMENT CENTER LLC
Entity Type:Organization
Organization Name:HAPPY DAYS FAMILY DEVELOPMENT CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-774-9218
Mailing Address - Street 1:3817 BALSAM ST
Mailing Address - Street 2:
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-6611
Mailing Address - Country:US
Mailing Address - Phone:704-774-9218
Mailing Address - Fax:
Practice Address - Street 1:3817 BALSAM ST
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-6611
Practice Address - Country:US
Practice Address - Phone:704-774-9218
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-08
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health