Organization · Type 2 NPI

St. Michael's Residential & Community Services, Inc.

Emotionally Disturbed Childrens' Residential Treatment Facility · Charlotte, NC

NPI number 1629123856 Active

Practice location

6630 Fair Lawn Rd
Charlotte, NC 28215-3720

Call (704) 537-3297 Map

Fax (704) 434-0268

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XMHL-060-1006 (NC)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1629123856

St. Michael's Residential & Community Services, Inc.'s National Provider Identifier is 1629123856, issued on Jan 25, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Charlotte, NC. The record was last updated on Aug 22, 2020.