Port City Academy

LBN: Gha Autism Supports
Port City Academy is an health care organization with primary practice located at 20 N 4Th St Suite 300B, Wilmington NC 28401-4553. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Community/Behavioral Health is the primary health care specialty. Gha Autism Supports can be contacted via phone (704) 982-9600, or through Allen, Dawn Harwood via phone (704) 982-9600.

Contact Information

Primary practice address
20 N 4Th St Suite 300B Wilmington NC 28401-4553
Phone: (704) 982-9600
Fax: (704) 982-8155
Website:
Map and Directions
Authorized official contact:
Name: Allen, Dawn Harwood
Phone: (704) 982-9600

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1962836460
LBN Legal business name Gha Autism Supports
DBA Doing business as Port City Academy
Authorized official Allen, Dawn Harwood
Entity Organization
Organization subpart 1 No
Enumeration date Sep 3rd, 2013
Last updated Sep 28th, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962836460 NPPES
North Carolina MEDICAID 3408844

Popular Providers