Organization · Type 2 NPI
Monarch
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Ansonville, NC
Practice location
1215 Ansonville Polkton Road
Ansonville, NC 28007-0727
Fax (704) 826-6230
Mailing address
350 Pee Dee Ave, Suite A
Albemarle, NC 28001-4945
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Custodial Care Facility | 311Z00000X | None listed |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | MHL-004-004 (NC) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
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.
About NPI 1972643989
Monarch's National Provider Identifier is 1972643989, issued on Feb 7, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Ansonville, NC. The record was last updated on Mar 31, 2021.