institution
University Of North Carolina At Chapel Hill
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Pittsboro, North Carolina
NPI 1881782548

University Of North Carolina At Chapel Hill is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Pittsboro, NC. University Of North Carolina At Chapel Hill practices in Pittsboro, NC. The NPI Number for University Of North Carolina At Chapel Hill is 1881782548 and holds a License No. MHL019007 (North Carolina).

The current practice location address for University Of North Carolina At Chapel Hill is 325 Russet Run, Pittsboro, NC and can be reached out via phone at 919-542-1910 and via fax at 919-542-0978.

Location: 325 Russet Run, Pittsboro, NC, 27312-5000
institution
Provider Profile Details
NPI Number
1881782548
Provider Name
University Of North Carolina At Chapel Hill
Credential
Provider Entity Type
Organization
Address
325 Russet Run, Pittsboro, NC, 27312-5000
Phone Number
919-542-1910
Fax Number
919-542-0978
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
27G.5600C 01 NC SRVCS-SPVLIVDDADLT ICF-MR
MHL-019-007 01 NC LICENSE NUMBER
921564 05 NC
27G.2300 01 NC SERVICE CODE-ADVP ICF/MR
3406187 05 NC
GM4 01 NC DSS FACILITY CODE
institution
Provider Business Practice Location Address Details
Address
325 Russet Run
City
State
Zip
27312-5000
Phone Number
919-542-1910
Fax Number
919-542-0978
person
Provider Business Mailing Address Details
Address
325 Russet Run
City
State
Zip
27312-5000
Phone Number
919-542-1910
Fax Number
919-542-0978
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
MHL019007 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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