institution
Bertha's Place, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Charlotte, North Carolina
NPI 1063569127

Bertha's Place, Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Waxhaw, NC. Bertha's Place, Inc. practices in Charlotte, NC. The NPI Number for Bertha's Place, Inc. is 1063569127 and holds a License No. MHL060-871 (North Carolina).

The current practice location address for Bertha's Place, Inc. is 3412 Green Meadow Dr., Charlotte, NC and can be reached out via phone at 704-598-5106 and via fax at 704-598-5106.

Location: 3412 Green Meadow Dr., Charlotte, NC, 28173-6962
institution
Provider Profile Details
NPI Number
1063569127
Provider Name
Bertha's Place, Inc.
Credential
Provider Entity Type
Organization
Address
3412 Green Meadow Dr., Charlotte, NC, 28173-6962
Phone Number
704-598-5106
Fax Number
704-598-5106
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6603939 05 NC
institution
Provider Business Practice Location Address Details
Address
3412 Green Meadow Dr.
City
State
Zip
28269-2982
Phone Number
704-598-5106
Fax Number
704-598-5106
person
Provider Business Mailing Address Details
Address
3412 Green Meadow Dr.
City
State
Zip
28269-2982
Phone Number
704-598-5106
Fax Number
704-598-5106
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
MHL060-871 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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