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Self Determination, Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Shelby, North Carolina
NPI 1972954113

Self Determination, Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Shelby, NC. Self Determination, Llc practices in Shelby, NC. The NPI Number for Self Determination, Llc is 1972954113 and holds a License No. (North Carolina).

The current practice location address for Self Determination, Llc is 423 Millsap Rd, Shelby, NC and can be reached out via phone at 704-600-6092.

Location: 423 Millsap Rd, Shelby, NC, 28150-9634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972954113
Provider Name
Self Determination, Llc
Credential
Provider Entity Type
Organization
Address
423 Millsap Rd, Shelby, NC, 28150-9634
Phone Number
704-600-6092
Fax Number
Provider Enumeration Date
06/29/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H2020 05 NC
institution
Provider Business Practice Location Address Details
Address
423 Millsap Rd
City
Shelby
State
North Carolina
Zip
28150
Phone Number
704-600-6092
Fax Number
person
Provider Business Mailing Address Details
Address
423 Millsap Rd
City
Shelby
State
North Carolina
Zip
28150
Phone Number
704-600-6092
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
(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
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
623-203 (North Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
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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