Self Determination, Llc | |
423 Millsap Rd Shelby NC 28150 | |
(704) 600-6092 | |
Not Available |
Full Name | Self Determination, Llc |
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Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
Location | 423 Millsap Rd, Shelby, North Carolina |
Authorized Official Name and Position | Anne Jeffries (OWNER) |
Authorized Official Contact | 9802978964 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Self Determination, Llc 423 Millsap Rd Shelby NC 28150-9634 Ph: (704) 600-6092 | Self Determination, Llc 423 Millsap Rd Shelby NC 28150 Ph: (704) 600-6092 |
NPI Number | 1972954113 |
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Provider Enumeration Date | 06/29/2016 |
Last Update Date | 12/08/2022 |
Certification Date | 12/08/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972954113 | NPI | - | NPPES |
H2020 | Medicaid | NC |
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