St. Michael'S Therapeutic Services, Inc. #2

LBN: St. Michael'S Therapeutic Services, Inc. #2
St. Michael'S Therapeutic Services, Inc. #2 is an health care organization with primary practice located at 4477 Fawnbrook Ave , Concord NC 28027-0412. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. St. Michael'S Therapeutic Services, Inc. #2 can be contacted via phone (704) 637-3375, or through Shore, Tasheema Yvette via phone (704) 701-2582.

Contact Information

Primary practice address
4477 Fawnbrook Ave Concord NC 28027-0412
Phone: (704) 637-3375
Fax: (704) 782-9383
Website:
Map and Directions
Authorized official contact:
Name: Shore, Tasheema Yvette BS,QP
Phone: (704) 701-2582

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-080-163 North Carolina

Profile Details

NPI number 1073702429
LBN Legal business name St. Michael'S Therapeutic Services, Inc. #2
DBA Doing business as
Authorized official Shore, Tasheema Yvette BS,QP
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2007
Last updated Oct 22nd, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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