Organization · Type 2 NPI

Youth Adult Care Management

Emotionally Disturbed Childrens' Residential Treatment Facility · Concord, NC

NPI number 1639203326 Active

Practice location

491 Liberty Drive
Concord, NC 28025-6318

Mailing address

PO Box 1013
Concord, NC 28026-1013

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XMHL-013-080 (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 1639203326

Youth Adult Care Management's National Provider Identifier is 1639203326, issued on Mar 15, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Concord, NC. The record was last updated on Aug 1, 2007.