Organization
ST. MICHAEL'S RESIDENTIAL & COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES R SINGLETON QMHP (EXECUTIVE DIRECTOR)
(704) 466-0046
Entity
Organization
Contact information
Practice address
6630 FAIR LAWN RD, CHARLOTTE, NC 28215-3720
(704) 537-3297
(704) 434-0268
Mailing address
6630 FAIR LAWN RD, CHARLOTTE, NC 28215-3720
(704) 537-3297
(704) 434-0268
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-060-1006
NC
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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