Autism Services, Incorporated
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Raleigh, NC. Organization (NPI-2).
NPI number1376601419
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1376601419
- Entity type
- Organization (NPI-2)
- Legal business name
- Autism Services, Incorporated
- Organization subpart
- No
- Enumeration date
- Dec 4, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 092091 | NC | Yes |
Practice location
6501 Jade Tree LnRaleigh, NC 27615-6914
Phone 919-954-0560 · Fax 919-877-0801
Mailing address
1310 Corporation PkwySuite H
Raleigh, NC 27610-1363
Phone 919-255-9011 · Fax 919-255-9029
Authorized official
Curtis Alton Bass
Executive Director
9192559011
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