Organization · Type 2 NPI

St. Michael's Therapeutic Services, Inc. #2

Emotionally Disturbed Childrens' Residential Treatment Facility · Concord, NC

NPI number 1073702429 Active

Practice location

4477 Fawnbrook Ave
Concord, NC 28027-0412

Fax (704) 782-9383

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XMHL-080-163 (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 1073702429

St. Michael's Therapeutic Services, Inc. #2's National Provider Identifier is 1073702429, issued on Oct 22, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Concord, NC. The record was last updated on Oct 22, 2007.