# SAINT MICHAELS RESIDENTIAL & COMMUNITY SERVICES, INC. \#2

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

## Provider details

- **NPI number:** 1740474907
- **Authorized official:** MR. JAMES RICK SINGLETON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (704) 537-3297

## Contact information

- **Practice address:** 7921 CHESTNUT RIDGE DR, CHARLOTTE, NC 28215-5517
- **Practice address phone:** (704) 466-0046
- **Practice address fax:** (704) 535-1836
- **Mailing address:** 6630 FAIR LAWN RD, CHARLOTTE, NC 28215-3720
- **Mailing address phone:** (704) 537-3297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-060-1027 | NC | Yes |

## Other

- **Enumeration date:** 08/30/2007
- **Last updated:** 08/30/2007