1639408248 SELF-DETERMINATION LLC
Case Management Agency
Active
Basic Information
- Organization Name
- SELF-DETERMINATION LLC
- Enumeration Date
- December 9, 2009
- Last Update
- August 10, 2018
- Authorized Official
- FLOYDCE JEFFERIES
PRESIDENT
Phone: (828) 433-0465
Practice Location
- Address
- 103 EBENEZER RD
KINGS MTN, NC 28086 - Phone
- (704) 750-4752
- Fax
- (704) 750-4753
Mailing Address
- Address
- 103 EBENEZER RD
KINGS MTN, NC 280868762 - Phone
- (704) 750-4752
- Fax
- (704) 750-4753
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Developmental Disabilities Clinic/Center Developmental Disabilities | 261QD1600X | Clinic/Center | N/A | N/A | No |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 023-197 | NC | No |
| Community/Behavioral Health Agency | 251S00000X | Community/Behavioral Health | N/A | N/A | No |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Community Based Residential Treatment Facility, Mental Illness | N/A | N/A | No |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 012-129 | NC | No |
| Case Management Agency | 251B00000X | Case Management | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6604454 | 05 | NC | N/A |
Frequently Asked Questions
What is SELF-DETERMINATION LLC's NPI number?
SELF-DETERMINATION LLC's NPI number is 1639408248.
Which doctor has NPI number 1639408248?
The doctor with NPI number 1639408248 is SELF-DETERMINATION LLC.
What is SELF-DETERMINATION LLC's practice address?
SELF-DETERMINATION LLC's practice address is 103 EBENEZER RD, KINGS MTN, NC, 28086.
Which doctor practices at 103 EBENEZER RD, KINGS MTN, NC, 28086?
SELF-DETERMINATION LLC practices at 103 EBENEZER RD, KINGS MTN, NC, 28086.
What is SELF-DETERMINATION LLC's phone number?
SELF-DETERMINATION LLC's phone number is (704) 750-4752.
Who is (704) 750-4752?
(704) 750-4752 is the phone number for SELF-DETERMINATION LLC.
What is SELF-DETERMINATION LLC's specialty?
SELF-DETERMINATION LLC's specialty is Case Management Agency.
What type of doctor is SELF-DETERMINATION LLC?
SELF-DETERMINATION LLC is a Case Management Agency.
Is SELF-DETERMINATION LLC a Case Management?
Yes, SELF-DETERMINATION LLC is a Case Management.
Is SELF-DETERMINATION LLC still practicing?
Yes, SELF-DETERMINATION LLC is currently practicing.
Is SELF-DETERMINATION LLC accepting new patients?
SELF-DETERMINATION LLC may be accepting new patients. Please call their office at (704) 750-4752 to inquire about availability.
Is NPI 1639408248 still active?
Yes, NPI 1639408248 is currently active.
Where does SELF-DETERMINATION LLC practice?
SELF-DETERMINATION LLC practices in KINGS MTN, NC.