Organization · Type 2 NPI

Bertha's Place, Inc.

Emotionally Disturbed Childrens' Residential Treatment Facility · Charlotte, NC

NPI number 1063569127 Active

Practice location

3412 Green Meadow Dr.
Charlotte, NC 28269-2982

Call (704) 598-5106 Map

Fax (704) 598-5106

Mailing address

2424 Logan Field Dr.
Waxhaw, NC 28173-6962

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	MHL060-871 (NC)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1063569127

Bertha's Place, Inc.'s National Provider Identifier is 1063569127, issued on Jan 4, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Charlotte, NC. The record was last updated on Aug 22, 2020.