# SELECT CARE HOME SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619118809
- **Authorized official:** JOY E CHIDI QPMH/MR/DD (PROGRAM DIRECTOR)
- **Authorized official phone:** (314) 283-2476

## Contact information

- **Practice address:** 233 GHOLSON AVE, HENDERSON, NC 27536-4547
- **Practice address phone:** (314) 283-2476
- **Mailing address:** 3406 SOSA RD, RALEIGH, NC 27610-4097
- **Mailing address phone:** (314) 283-2476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2009
- **Last updated:** 06/18/2009