# AMERICARE DEVELOPMENTAL SERVICES

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

## Provider details

- **NPI number:** 1760663058
- **Authorized official:** PERRY TANIS WATKINS MPA (CEO)
- **Authorized official phone:** (704) 506-6888

## Contact information

- **Practice address:** 313 HARRILL RD, FOREST CITY, NC 28043
- **Practice address phone:** (704) 506-6888
- **Practice address fax:** (704) 378-0363
- **Mailing address:** PO BOX 217125, CHARLOTTE, NC 28221-0125
- **Mailing address phone:** (704) 506-6888
- **Mailing address fax:** (704) 378-0363

## Taxonomy

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

## Other

- **Enumeration date:** 11/15/2007
- **Last updated:** 06/23/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6604253 | — | NC |