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Gary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Belmont, North Carolina
NPI 1063747319

Gary is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Belmont, NC. Gary practices in Belmont, NC. The NPI Number for Gary is 1063747319 and holds a License No. (North Carolina).

The current practice location address for Gary is 301 Mcauley Circle, Belmont, NC and can be reached out via phone at 704-825-4161 and via fax at 704-825-0401.

Location: 301 Mcauley Circle, Belmont, NC, 28012-2796
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063747319
Provider Name
Gary
Credential
Provider Entity Type
Organization
Address
301 Mcauley Circle, Belmont, NC, 28012-2796
Phone Number
704-825-4161
Fax Number
704-825-0401
Provider Enumeration Date
10/05/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1619310851 01 NC STATE FUNDS
7803424 05 NC
institution
Provider Business Practice Location Address Details
Address
301 Mcauley Circle
City
Belmont
State
North Carolina
Zip
28012-0710
Phone Number
704-825-4161
Fax Number
704-825-0401
person
Provider Business Mailing Address Details
Address
301 Mcauley Circle
City
Belmont
State
North Carolina
Zip
28012-0710
Phone Number
704-825-4161
Fax Number
704-825-0401
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
MHL-036-112 (North Carolina)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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