Spirit Of Excellence Community Outreach,Inc. in Jacksonville - Psychiatric Residential Treatment Facility
Spirit Of Excellence Community Outreach,Inc. - NPI 1942333240
Spirit Of Excellence Community Outreach,Inc. is a Psychiatric Residential Treatment Facility in Jacksonville, North Carolina. Spirit Of Excellence Community Outreach,Inc. practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for Spirit Of Excellence Community Outreach,Inc. is 1942333240. The last update date is 2015-02-02.
Spirit Of Excellence Community Outreach,Inc.'s current location address is Po Box 752, Jacksonville, North Carolina. You can contact this provider via phone number 9109394663 and fax number 9109395079. The mailing address for Spirit Of Excellence Community Outreach,Inc. is Po Box 752, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Spirit Of Excellence Community Outreach,Inc. |
|---|---|
| Address | Po Box 752, Jacksonville, North Carolina |
| Phone Number | 9109394663 |
| Fax Number | 9109395079 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Fludd Delorise Helen |
| Telephone Number | 9103826595 |
NPI Number Detail
| NPI Number | 1942333240 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2015-02-02 |
Provider Mailing Address Detail
| Address | Po Box 752 |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 285410752 |
| Phone Number | 9109394663 |
| Fax Number | 9109395079 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Residential Treatment Facility |
|---|---|
| Taxonomy | 323P00000X |
| Licence No | MHL-067-164 |
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Definition: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3418119 | NC | -- | |
| 8301352 | NC | -- | |
| 8301352G | NC | -- | |
| 3408311 | NC | -- | |
| 6602173 | NC | -- | |
| 001GM | NC | BLUE CROSS BLUE SHIELD | |
| 009EJ | NC | BLUE CROSS BLUE SHIELD | |
| 6006360 | NC | -- | |
| 7805061 | NC | -- | |
| 6601227 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Spirit Of Excellence Community Outreach,Inc. by the Centers for Medicare & Medicaid Services?
The Spirit Of Excellence Community Outreach,Inc. has been issued the NPI (National Provider Identifier) 1942333240 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Spirit Of Excellence Community Outreach,Inc. is physically located?
The Spirit Of Excellence Community Outreach,Inc. is physically situated at the following address: Po Box 752, Jacksonville, NC, 285410752.
What is Spirit Of Excellence Community Outreach,Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Spirit Of Excellence Community Outreach,Inc. is Psychiatric Residential Treatment Facility, and the taxonomy code that categorizes this field of expertise is 323P00000X.
When did Spirit Of Excellence Community Outreach,Inc. receive its 1942333240 assignment?
The Spirit Of Excellence Community Outreach,Inc. was assigned its 1942333240 on 2007-03-14, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Spirit Of Excellence Community Outreach,Inc. most recently updated or revised?
The information pertaining to Spirit Of Excellence Community Outreach,Inc., including its address, specialty, and other relevant details, was last updated or revised on 2015-02-02.
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