Organization · Type 2 NPI

Rose of Sharon Adolescent Treatment Home

Emotionally Disturbed Childrens' Residential Treatment Facility · Durham, NC

NPI number 1194871483 Active

Practice location

13 Rhyn Ct
Durham, NC 27704-2359

Call (919) 220-2492 Map

Fax (919) 550-2648

Mailing address

161 Kentucky Derby Dr
Clayton, NC 27520-6080

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	MHL 032275 (NC)

Emotionally Disturbed Childrens' Residential Treatment Facility: 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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About NPI 1194871483

Rose of Sharon Adolescent Treatment Home's National Provider Identifier is 1194871483, issued on Jan 27, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Durham, NC. The record was last updated on Jun 16, 2008.