Organization · Type 2 NPI
Open Door Group Home#, Incorporated
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Kings Mountain, NC
Practice location
140 Shady Grove Rd
Kings Mountain, NC 28086-9669
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | MHL036249 (NC) |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | MHL036249 (NC) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MHL036249 (NC) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1184803686
Open Door Group Home#, Incorporated's National Provider Identifier is 1184803686, issued on Oct 31, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Kings Mountain, NC. The record was last updated on Oct 31, 2007.