NPI 1033259015

First Step Direct Care

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Charlotte, NC

Practice location

Address: 9726 Bark Mead Dr, Charlotte, NC 28273-5400
Phone: (704) 395-2432
Fax: (704) 395-2432
Mailing address: PO Box 668683, Charlotte, NC 28266-8683

Authorised official

Name: Gwendolyn Lavern Graham
Title: Administrative Program Director
Phone: (704) 395-2432

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence MHL060-836 (NC)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Carolina →

Registry record

NPI: 1033259015
Entity type: Organization
NPI issued: 7 Feb 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.