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Autism Services Of Mecklenburg County, Inc.
Intellectual Disabilities Intermediate Care Facility in Charlotte, North Carolina
NPI 1043561764

Autism Services Of Mecklenburg County, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Charlotte, NC. Autism Services Of Mecklenburg County, Inc. practices in Charlotte, NC. The NPI Number for Autism Services Of Mecklenburg County, Inc. is 1043561764 and holds a License No. MHL-060-231 (North Carolina).

The current practice location address for Autism Services Of Mecklenburg County, Inc. is 1123 Ravendale Dr, Charlotte, NC and can be reached out via phone at 704-399-3538.

Location: 1123 Ravendale Dr, Charlotte, NC, 28208-3661
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043561764
Provider Name
Autism Services Of Mecklenburg County, Inc.
Credential
Provider Entity Type
Organization
Address
1123 Ravendale Dr, Charlotte, NC, 28208-3661
Phone Number
704-399-3538
Fax Number
Provider Enumeration Date
09/20/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
340609A 05 NC
institution
Provider Business Practice Location Address Details
Address
1123 Ravendale Dr
City
Charlotte
State
North Carolina
Zip
28216-1526
Phone Number
704-399-3538
Fax Number
person
Provider Business Mailing Address Details
Address
1123 Ravendale Dr
City
Charlotte
State
North Carolina
Zip
28216-1526
Phone Number
704-399-3538
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
MHL-060-231 (North Carolina)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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