Organization · Type 2 NPI
Autism Services of Mecklenburg County, Inc.
Mental Illness Intermediate Care Facility · Charlotte, NC
NPI number
1477683308
Active
Practice location
2211-A Executive Street
Charlotte, NC 28208-3655
Fax (704) 392-9221
Other practice locations
- 5026 Lansing Dr, Charlotte, NC 28270-6076 · (704) 365-4366
- 5300 Kelly St, Charlotte, NC 28205-7912 · (704) 531-1875
- 5215 Pinebrook Dr, Charlotte, NC 28208-2437 · (704) 399-8969
- 4016 Piney Grove Rd, Charlotte, NC 28212-9012 · (704) 399-3538
- 4400 Dalmoor Dr, Charlotte, NC 28212-2157 · (704) 567-1531
- 1123 Ravendale Dr, Charlotte, NC 28216-1526 · (704) 399-3538
- 5917 Rowan Way, Charlotte, NC 28214-2403 · (704) 391-5559
- 4319 Mantle Ct, Charlotte, NC 28205-7243 · (704) 567-8082
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Illness Intermediate Care Facility Primary | 310500000X | MHL-060-231 (NC) |
| Mental Illness Intermediate Care Facility | 310500000X | MHL-060-167 (NC) |
| Mental Illness Intermediate Care Facility | 310500000X | MHL-060-118 (NC) |
| Mental Illness Intermediate Care Facility | 310500000X | MHL-060-514 (NC) |
| Adult Care Home Facility | 311ZA0620X | MHL-060-350 (NC) |
| Adult Care Home Facility | 311ZA0620X | MHL-060-908 (NC) |
| Adult Care Home Facility | 311ZA0620X | MHL-060-468 (NC) |
| Adult Care Home Facility | 311ZA0620X | MHL-060-166 (NC) |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | None listed |
Mental Illness Intermediate Care Facility: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
Other mental illness intermediate care facility providers in Charlotte
About NPI 1477683308
Autism Services of Mecklenburg County, Inc.'s National Provider Identifier is 1477683308, issued on Mar 7, 2007. The primary taxonomy on file is Mental Illness Intermediate Care Facility (310500000X), and the practice location is in Charlotte, NC. The record was last updated on Sep 13, 2018.