Individual provider · Type 1 NPI
Chelevia Thompson
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Cary, NC
Practice location
1227 Jamestown Ct
Cary, NC 27511-4912
Fax (919) 481-2003
Mailing address
PO Box 443
Franklinton, NC 27525-0443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | MHL-092-816 (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 1225308794
Chelevia Thompson's National Provider Identifier is 1225308794, issued on Dec 30, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Cary, NC. The record was last updated on Dec 30, 2011.