Organization · Type 2 NPI

Dickens Group Home, LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Charlotte, NC

NPI number 1942464409 Active

Practice location

10719 Starwood Ave
Charlotte, NC 28215-9587

Call (704) 906-1519 Map

Fax (704) 573-9407

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1942464409

Dickens Group Home, LLC's National Provider Identifier is 1942464409, issued on Jul 14, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 14, 2008.