Rose Of Sharon Adolescent Treatment Home Ii
LBN: Rose Of Sharon Adolescent Treatment Home Ii
Rose Of Sharon Adolescent Treatment Home Ii is an health care organization with primary practice located at 2885 Bennington Dr , Clayton NC 27520-5971. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty.
Rose Of Sharon Adolescent Treatment Home Ii can be contacted via phone (919) 553-3383, or through Pettiford, Sharon Winstead via phone (919) 550-2648.
Contact Information
Primary practice address
2885 Bennington Dr
Clayton NC 27520-5971
Phone: (919) 553-3383
Fax: (919) 550-2648
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | 051153 | North Carolina |
Profile Details
| NPI number | 1588709232 |
|---|---|
| LBN Legal business name | Rose Of Sharon Adolescent Treatment Home Ii |
| DBA Doing business as | |
| Authorized official | Pettiford, Sharon Winstead |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Aug 14th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588709232 | NPPES |
| North Carolina | MEDICAID | 6603291 |
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