Organization · Type 2 NPI

Autism Services of Mecklenburg County, Inc.

Intellectual Disabilities Intermediate Care Facility · Charlotte, NC

NPI number 1063764702 Active

Practice location

5917 Rowan Way
Charlotte, NC 28214

Call (704) 391-5559 Map

Fax (704) 391-5560

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XMHL-060-514 (NC)

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

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About NPI 1063764702

Autism Services of Mecklenburg County, Inc.'s National Provider Identifier is 1063764702, issued on Oct 4, 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 Jan 10, 2013.