Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SELF-DETERMINATION LLC
Active OrganizationSELF-DETERMINATION LLC is a Case Management Agency organization located in KINGS MTN, North Carolina. NPI 1639408248 is currently active in the NPPES registry. Verify at CMS.
Case Management Agency · KINGS MTN, NC
Registration Details
- NPI Number
- 1639408248
- Provider Type
- Organization
- NPI Issued
- Dec 9, 2009 (16.65174294322 yrs)
- Last Updated
- Aug 10, 2018
- Licenses
-
023-197 (NC)012-129 (NC)
Practice Information
- Address
-
103 EBENEZER RDKINGS MTN, NC, 28086Browse NC providers · Browse ZIP 28086
- Phone
- 7047504752
- Fax
- 7047504753
- Primary Specialty
-
Case Management Agency
251B00000X
- Additional Specialty
- Psychiatric Residential Treatment Facility
- Additional Specialty
- Community/Behavioral Health
- Additional Specialty
- Psychiatric Residential Treatment Facility
- Additional Specialty
- Residential Treatment, Emotionally Disturbed Children
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.