Organization
DEVELOPMENTAL DISABILITIES RESOURCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA LEMONS (CEO)
(704) 650-9954
Entity
Organization
Contact information
Practice address
1408 MARLWOOD CIR, CHARLOTTE, NC 28227-4021
(704) 573-9777
(704) 916-6656
Mailing address
6824 WILGROVE MINT HILL RD, MINT HILL, NC 28227-3428
(704) 573-9777
(704) 916-6656
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
133V00000X
Registered Dietitian
—
—
2251C2600X
Cardiopulmonary Physical Therapist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409175
—
NC
05
—
3419268
—
NC
05
—
6003417
—
NC
Enumeration date
09/16/2006
Last updated
02/13/2025
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