Organization · Type 2 NPI
Saint Michaels Residential & Community Services, Inc. #2
Emotionally Disturbed Childrens' Residential Treatment Facility · Charlotte, NC
Practice location
7921 Chestnut Ridge Dr
Charlotte, NC 28215-5517
Fax (704) 535-1836
Mailing address
6630 Fair Lawn Rd
Charlotte, NC 28215-3720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | MHL-060-1027 (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 1740474907
Saint Michaels Residential & Community Services, Inc. #2's National Provider Identifier is 1740474907, issued on Aug 30, 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 30, 2007.