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St. Michael's Therapeutic Services, Inc. #2
Emotionally Disturbed Childrens' Residential Treatment Facility in Concord, North Carolina
NPI 1073702429

St. Michael's Therapeutic Services, Inc. #2 is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Concord, NC. St. Michael's Therapeutic Services, Inc. #2 practices in Concord, NC. The NPI Number for St. Michael's Therapeutic Services, Inc. #2 is 1073702429 and holds a License No. MHL-080-163 (North Carolina).

The current practice location address for St. Michael's Therapeutic Services, Inc. #2 is 4477 Fawnbrook Ave, Concord, NC and can be reached out via phone at 704-637-3375 and via fax at 704-782-9383.

Location: 4477 Fawnbrook Ave, Concord, NC, 28027-0412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073702429
Provider Name
St. Michael's Therapeutic Services, Inc. #2
Credential
Provider Entity Type
Organization
Address
4477 Fawnbrook Ave, Concord, NC, 28027-0412
Phone Number
704-637-3375
Fax Number
704-782-9383
Provider Enumeration Date
10/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4477 Fawnbrook Ave
City
Concord
State
North Carolina
Zip
28027-0412
Phone Number
704-637-3375
Fax Number
704-782-9383
person
Provider Business Mailing Address Details
Address
4477 Fawnbrook Ave
City
Concord
State
North Carolina
Zip
28027-0412
Phone Number
704-637-3375
Fax Number
704-782-9383
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL-080-163 (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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