Organization · Type 2 NPI

Rose of Sharon Adolescent Treatment Home II

Emotionally Disturbed Childrens' Residential Treatment Facility · Clayton, NC

NPI number 1629113170 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

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X051153 (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 1629113170

Rose of Sharon Adolescent Treatment Home II's National Provider Identifier is 1629113170, issued on Feb 21, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Clayton, NC. The record was last updated on Jun 2, 2009.