Organization · Type 2 NPI
Rose of Sharon Adolescent Treatment Home II
Mental Illness Community Based Residential Treatment Facility · Clayton, NC
NPI number
1588709232
Active
Practice location
2885 Bennington Dr
Clayton, NC 27520-5971
Fax (919) 550-2648
Mailing address
161 Kentucky Derby Dr
Clayton, NC 27520-6080
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 051153 (NC) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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About NPI 1588709232
Rose of Sharon Adolescent Treatment Home II's National Provider Identifier is 1588709232, issued on Feb 20, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Clayton, NC. The record was last updated on Aug 14, 2008.