St. Michael'S Therapeutic Services, Inc. #2 in Concord - Residential Treatment Facility, Emotionally Disturbed Children
St. Michael'S Therapeutic Services, Inc. #2 - NPI 1073702429
St. Michael'S Therapeutic Services, Inc. #2 is a Residential Treatment Facility, Emotionally Disturbed Children in Concord, North Carolina. St. Michael'S Therapeutic Services, Inc. #2 practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for St. Michael'S Therapeutic Services, Inc. #2 is 1073702429. The last update date is 2007-10-22.
St. Michael'S Therapeutic Services, Inc. #2's current location address is 4477 Fawnbrook Ave, Concord, North Carolina. You can contact this provider via phone number 7046373375 and fax number 7047829383. The mailing address for St. Michael'S Therapeutic Services, Inc. #2 is 4477 Fawnbrook Ave, Concord, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St. Michael'S Therapeutic Services, Inc. #2 |
|---|---|
| Address | 4477 Fawnbrook Ave, Concord, North Carolina |
| Phone Number | 7046373375 |
| Fax Number | 7047829383 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Shore Yvette Tasheema |
| Credentials | BS,QP |
| Telephone Number | 7047012582 |
NPI Number Detail
| NPI Number | 1073702429 |
|---|---|
| Provider Enumeration Date | 2007-10-22 |
| Last Updated Date | 2007-10-22 |
Provider Mailing Address Detail
| Address | 4477 Fawnbrook Ave |
|---|---|
| City | Concord |
| State | North Carolina (NC) |
| Post Code | 280270412 |
| Phone Number | 7046373375 |
| Fax Number | 7047829383 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | MHL-080-163 |
|
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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Post Comment/ Review Below
What is the unique identification code assigned to St. Michael'S Therapeutic Services, Inc. #2 by the Centers for Medicare & Medicaid Services?
The St. Michael'S Therapeutic Services, Inc. #2 has been issued the NPI (National Provider Identifier) 1073702429. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where St. Michael'S Therapeutic Services, Inc. #2 is located?
The St. Michael'S Therapeutic Services, Inc. #2 is situated at the following address: 4477 Fawnbrook Ave, Concord, NC, 280270412.
What is the St. Michael'S Therapeutic Services, Inc. #2's area of specialization and corresponding taxonomy classification?
The St. Michael'S Therapeutic Services, Inc. #2's specialty field is Residential Treatment Facility, Emotionally Disturbed Children, and it falls under the taxonomy code 322D00000X, which categorizes healthcare providers based on their specialties.
On what date did the St. Michael'S Therapeutic Services, Inc. #2 receive the assignment of its 1073702429 from the Centers for Medicare & Medicaid Services?
The St. Michael'S Therapeutic Services, Inc. #2 was issued its 1073702429 by the Centers for Medicare & Medicaid Services on 2007-10-22.
When was the information regarding St. Michael'S Therapeutic Services, Inc. #2, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to St. Michael'S Therapeutic Services, Inc. #2, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-22.
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