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Autism Services Of Mecklenburg County, Inc.
Intellectual Disabilities Intermediate Care Facility in Charlotte, North Carolina
NPI 1477683308

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 1477683308 and holds a License No. (North Carolina).

The current practice location address for Autism Services Of Mecklenburg County, Inc. is 2211-A Executive Street, Charlotte, NC and can be reached out via phone at 704-392-9220 and via fax at 704-392-9221.

Location: 2211-A Executive Street, Charlotte, NC, 28208-3655
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477683308
Provider Name
Autism Services Of Mecklenburg County, Inc.
Credential
Provider Entity Type
Organization
Address
2211-A Executive Street, Charlotte, NC, 28208-3655
Phone Number
704-392-9220
Fax Number
704-392-9221
Provider Enumeration Date
03/07/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3406362 05 NC
7803089 05 NC
3408804 05 NC
7804897 05 NC
340602B 05 NC
3406022 05 NC
340609A 05 NC
341612T 05 NC
7802270 05 NC
institution
Provider Business Practice Location Address Details
Address
2211-A Executive Street
City
Charlotte
State
North Carolina
Zip
28208-3655
Phone Number
704-392-9220
Fax Number
704-392-9221
person
Provider Business Mailing Address Details
Address
2211-A Executive Street
City
Charlotte
State
North Carolina
Zip
28208-3655
Phone Number
704-392-9220
Fax Number
704-392-9221
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
MHL-060-118 (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
Intermediate Care Facility, Mental Illness
Speciality
-
Taxonomy
310500000X
License No.
MHL-060-167 (North Carolina)
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
MHL-060-231 (North Carolina)
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 4
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(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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