Individual provider · Type 1 NPI
Walter Jason Young Jr., QP
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Charlotte, NC
Practice location
412 Rook Rd
Charlotte, NC 28216-3199
Fax (980) 207-4791
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | MHL-060-1441 (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.
Another provider at this address
Other intellectual and/or developmental disabilities residential treatment facility providers in Charlotte
- Nana HintonIntellectual and/or Developmental Disabilities Residential Treatment Facility Charlotte, NC NPI 1154818284
- Marsha Daymon-Adams, PROVIDERIntellectual and/or Developmental Disabilities Residential Treatment Facility Charlotte, NC NPI 1578106258
- Katrina Renee Bryant, MS, LCASIntellectual and/or Developmental Disabilities Residential Treatment Facility Charlotte, NC NPI 1730960741
- Latesha GreenIntellectual and/or Developmental Disabilities Residential Treatment Facility Charlotte, NC NPI 1972239127
About NPI 1881230795
Walter Jason Young Jr., QP's National Provider Identifier is 1881230795, issued on Nov 26, 2019. 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 Mar 9, 2020.