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ST. MICHAEL'S RESIDENTIAL & COMMUNITY SERVICES INC. NPI 1629123856


NPI Information

NPI: 1629123856
Provider Name: ST. MICHAEL'S RESIDENTIAL & COMMUNITY SERVICES, INC.
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
6630 FAIR LAWN RD
CHARLOTTE, NC
ZIP 28215
Phone: (704) 537-3297
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ST. MICHAEL'S RESIDENTIAL & COMMUNITY SERVICES, INC. is a residential treatment facility emotionally disturbed children in Charlotte, NC. The provider is 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. ST. MICHAEL'S RESIDENTIAL & COMMUNITY SERVICES, INC. NPI is 1629123856. The provider is registered as an organization entity type.

The provider's business location address is:

6630 FAIR LAWN RD
CHARLOTTE, NC
ZIP 28215-720
Phone: (704) 537-3297
Fax: (704) 434-0268

The provider's authorized official is James R Singleton .
The authorized official title is Executive Director and has the following contact phone number (704) 466-0046.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-060-1006NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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