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CHILD DEVELOPMENT CENTER INC. NPI 1679619571


NPI Information

NPI: 1679619571
Provider Name: CHILD DEVELOPMENT CENTER, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
3802 PRINCESS PLACE DR
WILMINGTON, NC
ZIP 28405
Phone: (910) 343-4245
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CHILD DEVELOPMENT CENTER, INC. is a community behavioral health in Wilmington, NC. The provider is 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. CHILD DEVELOPMENT CENTER, INC. NPI is 1679619571. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3802 PRINCESS PLACE DR
WILMINGTON, NC
ZIP 28405-226
Phone: (910) 343-4245
Fax: (910) 343-4254

The provider's authorized official is Nancy B. Haddock .
The authorized official title is Executive Director and has the following contact phone number (910) 343-4245.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 2/7/2008.


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
1101YS0200XCounselorSchool8300128BNORTH CAROLINANo
2225100000XPhysical Therapist7270NORTH CAROLINANo
3225100000XPhysical Therapist9077NORTH CAROLINANo
4225X00000XOccupational Therapist3496NORTH CAROLINANo
5225X00000XOccupational Therapist1237NORTH CAROLINANo
6235Z00000XSpeech-Language Pathologist6530NORTH CAROLINANo
7235Z00000XSpeech-Language Pathologist4584NORTH CAROLINANo
8235Z00000XSpeech-Language Pathologist6881NORTH CAROLINANo
9251C00000XDay Training, Developmentally Disabled Services65000539NORTH CAROLINANo
10251B00000XCase ManagementP003592NORTH CAROLINANo
11251S00000XCommunity/Behavioral HealthP003800NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17211807MEDICAIDNORTH CAROLINA
28300128BMEDICAIDNORTH CAROLINA
38300128KMEDICAIDNORTH CAROLINA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.