Organization · Type 2 NPI

Autumn House

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Greensboro, NC

NPI number 1962646836 Active

Practice location

3902 Derbyshire Dr
Greensboro, NC 27410-2216

Call (336) 288-7360 Map

Fax (336) 273-6522

Mailing address

1000 Revolution Mill Dr, Studio #2
Greensboro, NC 27405-5082

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XMHL-041-874 (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.

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About NPI 1962646836

Autumn House's National Provider Identifier is 1962646836, issued on Apr 23, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Greensboro, NC. The record was last updated on Apr 23, 2009.