Organization · Type 2 NPI
Autism Services of Mecklenburg County, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Charlotte, NC
Practice location
5300 Kelly St
Charlotte, NC 28205-7912
Mailing address
2211 Executive St, Suite A
Charlotte, NC 28208-3661
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 060-350 (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.
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About NPI 1578815940
Autism Services of Mecklenburg County, Inc.'s National Provider Identifier is 1578815940, issued on Oct 10, 2012. 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 10, 2012.