# ONE LOVE DEVELOPMENTAL SERVICES, INC

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

## Provider details

- **NPI number:** 1831265180
- **Authorized official:** STEVIE WIDEMAN (VICE PRESIDENT)
- **Authorized official phone:** (704) 642-0140

## Contact information

- **Practice address:** 324 W MAIN AVE, GASTONIA, NC 28052-4113
- **Practice address phone:** (704) 642-0140
- **Mailing address:** PO BOX 2223, SALISBURY, NC 28145-2223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | — | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NC | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NC | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NC | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 09/10/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3408216 | — | NC |
| 05 | — | 6603307 | — | NC |
| 05 | — | 6603555 | — | NC |
| 05 | — | 6603717 | — | NC |
| 05 | — | 6603804 | — | NC |
| 05 | — | 8300947 | — | NC |