Self-determination Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Kings Mtn, North Carolina
NPI 1639408248
Self-determination Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Kings Mtn, NC. Self-determination Llc practices in Kings Mtn, NC. The NPI Number for Self-determination Llc is 1639408248 and holds a License No. (North Carolina).
The current practice location address for Self-determination Llc is 103 Ebenezer Rd, Kings Mtn, NC and can be reached out via phone at 704-750-4752 and via fax at 704-750-4753.
Location: 103 Ebenezer Rd, Kings Mtn, NC, 28086-8762
Provider Profile Details
NPI Number
1639408248
Provider Name
Self-determination Llc
Credential
Provider Entity Type
Organization
Address
103 Ebenezer Rd, Kings Mtn, NC, 28086-8762
Phone Number
704-750-4752
Fax Number
704-750-4753
Provider Enumeration Date
12/09/2009
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6604454 | 05 | NC |
Provider Business Practice Location Address Details
Address
103 Ebenezer Rd
City
State
Zip
28086
Phone Number
704-750-4752
Fax Number
704-750-4753
Provider Business Mailing Address Details
Address
103 Ebenezer Rd
City
State
Zip
28086
Phone Number
704-750-4752
Fax Number
704-750-4753
Provider's Taxonomy Details 1
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
License No.
()
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
023-197 (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.
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Provider's Taxonomy Details 5
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
()
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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