Organization · Type 2 NPI

Goshen Developmental Disability Center

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Charlotte, NC

NPI number 1235910175 Active

Practice location

617 Morningside Rd
Charlotte, NC 28214-9105

Call (704) 361-9868 Map

Mailing address

3306 N 190th Plz
Elkhorn, NE 68022-3554

Specialties and licenses

Taxonomy	Code	License
Developmentally Disabled Services Day Training Agency	251C00000X	None listed
Adult Day Care Clinic/Center	261QA0600X	None listed
Developmental Disabilities Clinic/Center	261QD1600X	None listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	None listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	320900000X	None listed
Child Intellectual and/or Developmental Disabilities Respite Care	385HR2060X	None listed

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.

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About NPI 1235910175

Goshen Developmental Disability Center's National Provider Identifier is 1235910175, issued on Oct 6, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Charlotte, NC. The record was last updated on Oct 6, 2023.