Organization · Type 2 NPI

Autism Services of Mecklenburg County, Inc.

Intellectual Disabilities Intermediate Care Facility · Charlotte, NC

NPI number 1043561764 Active

Practice location

1123 Ravendale Dr
Charlotte, NC 28216-1526

Call (704) 399-3538 Map

Mailing address

2211 Executive St, Suite A
Charlotte, NC 28208-3661

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XMHL-060-231 (NC)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1043561764

Autism Services of Mecklenburg County, Inc.'s National Provider Identifier is 1043561764, issued on Sep 20, 2012. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Charlotte, NC. The record was last updated on Sep 20, 2012.