Autumn House

LBN: Autumn House
Autumn House is an health care organization with primary practice located at 3902 Derbyshire Dr , Greensboro NC 27410-2216. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Autumn House can be contacted via phone (336) 288-7360, or through Mitchell, Derek via phone (336) 273-2640.

Contact Information

Primary practice address
3902 Derbyshire Dr Greensboro NC 27410-2216
Phone: (336) 288-7360
Fax: (336) 273-6522
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Derek BS, QP
Phone: (336) 273-2640

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL-041-874 North Carolina

Profile Details

NPI number 1962646836
LBN Legal business name Autumn House
DBA Doing business as
Authorized official Mitchell, Derek BS, QP
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 23rd, 2009
Last updated Apr 23rd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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