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Successful Start Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in High Point, North Carolina
NPI 1518105642

Successful Start Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Greensboro, NC. Successful Start Llc practices in High Point, NC. The NPI Number for Successful Start Llc is 1518105642 and holds a License No. MHL-041-888 (North Carolina).

The current practice location address for Successful Start Llc is 2309 Williams Ave, High Point, NC and can be reached out via phone at 336-886-5611 and via fax at 336-886-5616. You can also correspond with Successful Start Llc through the mailing address at PO BOX 13512, GREENSBORO, NC - 27415-3512 (mailing address contact number: 336-253-5286).

Location: 2309 Williams Ave, High Point, NC, 27415-3512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518105642
Provider Name
Successful Start Llc
Credential
Provider Entity Type
Organization
Address
2309 Williams Ave, High Point, NC, 27415-3512
Phone Number
336-886-5611
Fax Number
336-886-5616
Provider Enumeration Date
01/27/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MHL-041-888 01 NC STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES LICENSURE NUMBER
080665 01 NC STATE OF NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES FACILITY ID
institution
Provider Business Practice Location Address Details
Address
2309 Williams Ave
City
High Point
State
North Carolina
Zip
27262-3548
Phone Number
336-886-5611
Fax Number
336-886-5616
person
Provider Business Mailing Address Details
Address
2309 Williams Ave
City
High Point
State
North Carolina
Zip
27262-3548
Phone Number
336-886-5611
Fax Number
336-886-5616
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
MHL-041-888 (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
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL-041-888 (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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