Organization · Type 2 NPI

Betty Ann Clark

Child Intellectual and/or Developmental Disabilities Respite Care · Charlotte, NC

NPI number 1689710006 Active

Practice location

9709 Avensong Crossing Dr
Charlotte, NC 28215-8078

Specialties and licenses

TaxonomyCodeLicense
Child Intellectual and/or Developmental Disabilities Respite Care Primary 385HR2060X60001581 (NC)

Child Intellectual and/or Developmental Disabilities Respite Care: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

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About NPI 1689710006

Betty Ann Clark's National Provider Identifier is 1689710006, issued on Jan 30, 2007. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Charlotte, NC. The record was last updated on Aug 22, 2020.