Open Door Group Home#, Incorporated
Open Door Group Home#, Incorporated is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Kings Mountain, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.
- Licensed in
- NC
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
140 Shady Grove RdKings Mountain, NC 28086-9669
Phone: (704) 739-6650
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence MHL036249 (NC) |
|---|---|
| Mental Illness Community Based Residential Treatment Facility | Taxonomy 320800000X · Licence MHL036249 (NC) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X · Licence MHL036249 (NC) |
Record details
| NPI number | 1184803686 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Betty Gravely — Owner/Director · (704) 739-6650 |
| NPI enumerated | October 31, 2007 |
| Last updated in NPPES | October 31, 2007 |
| Mailing address | 140 Shady Grove Rd, Kings Mountain, NC 28086-9669 |