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DEVELOPMENTAL DISABILITIES RESOURCES INC. NPI 1821194531


NPI Information

NPI: 1821194531
Provider Name: DEVELOPMENTAL DISABILITIES RESOURCES, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
6824 WILGROVE MINT HILL RD
MINT HILL, NC
ZIP 28227
Phone: (704) 573-9777
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DEVELOPMENTAL DISABILITIES RESOURCES, INC. is a community behavioral health in Mint Hill, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. DEVELOPMENTAL DISABILITIES RESOURCES, INC. NPI is 1821194531. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6824 WILGROVE MINT HILL RD
MINT HILL, NC
ZIP 28227-428
Phone: (704) 573-9777
Fax: (704) 916-6656

The provider's authorized official is Devon Cornett .
The authorized official title is Community Relations Director/contra and has the following contact phone number (704) 573-9777.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 2/12/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalNo
2106H00000XMarriage & Family TherapistNo
3133V00000XDietitian, RegisteredNo
42251C2600XPhysical TherapistCardiopulmonaryNo
5251C00000XDay Training, Developmentally Disabled ServicesNo
6261QD1600XClinic/CenterDevelopmental DisabilitiesNo
7320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
8103K00000XBehavior AnalystNo
9251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16003417MEDICAIDNORTH CAROLINA
23409175MEDICAIDNORTH CAROLINA
33419268MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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