Rose Of Sharon Adolescent Treatment Home Ii in Clayton - Residential Treatment Facility, Emotionally Disturbed Children
Rose Of Sharon Adolescent Treatment Home Ii - NPI 1629113170
Rose Of Sharon Adolescent Treatment Home Ii is a Residential Treatment Facility, Emotionally Disturbed Children in Clayton, North Carolina. Rose Of Sharon Adolescent Treatment Home Ii practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Rose Of Sharon Adolescent Treatment Home Ii is 1629113170. The last update date is 2009-06-02.
Rose Of Sharon Adolescent Treatment Home Ii's current location address is 2885 Bennington Dr, Clayton, North Carolina. You can contact this provider via phone number 9195533383 and fax number 9195502648. The mailing address for Rose Of Sharon Adolescent Treatment Home Ii is 2885 Bennington Dr, Clayton, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Rose Of Sharon Adolescent Treatment Home Ii |
|---|---|
| Address | 2885 Bennington Dr, Clayton, North Carolina |
| Phone Number | 9195533383 |
| Fax Number | 9195502648 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Pettiford Winstead Sharon |
| Telephone Number | 9195502648 |
NPI Number Detail
| NPI Number | 1629113170 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2009-06-02 |
Provider Mailing Address Detail
| Address | 2885 Bennington Dr |
|---|---|
| City | Clayton |
| State | North Carolina (NC) |
| Post Code | 275205971 |
| Phone Number | 9195533383 |
| Fax Number | 9195502648 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 51153 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6604153 | NC | -- |
Post Comment/ Review Below
What is the Rose Of Sharon Adolescent Treatment Home Ii's unique identification number?
The Rose Of Sharon Adolescent Treatment Home Ii has been assigned the NPI (National Provider Identifier) Number 1629113170 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Rose Of Sharon Adolescent Treatment Home Ii?
The Rose Of Sharon Adolescent Treatment Home Ii is physically situated at 2885 Bennington Dr, in the city of Clayton, state of NC, with the postal code 275205971.
What is Rose Of Sharon Adolescent Treatment Home Ii's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Rose Of Sharon Adolescent Treatment Home Ii is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that categorizes this field of expertise is 322D00000X.
On what date was the 1629113170 assigned to Rose Of Sharon Adolescent Treatment Home Ii?
The Rose Of Sharon Adolescent Treatment Home Ii was issued its 1629113170 on 2007-02-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Rose Of Sharon Adolescent Treatment Home Ii, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Rose Of Sharon Adolescent Treatment Home Ii, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-06-02.