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CAROLINA CORRECTIONAL SERVICES INC. NPI 1023105251


NPI Information

NPI: 1023105251
Provider Name: CAROLINA CORRECTIONAL SERVICES, INC.

Doing Business As: WAKE JUVENILE DAY TREATMENT CENTER

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2940 FALSTAFF RD
RALEIGH, NC
ZIP 27610
Phone: (919) 231-9717
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CAROLINA CORRECTIONAL SERVICES, INC. is a community behavioral health in Raleigh, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CAROLINA CORRECTIONAL SERVICES, INC. NPI is 1023105251. The provider is registered as an organization entity type.
The provider Is Doing Business As Wake Juvenile Day Treatment Center.

The provider's business location address is:

2940 FALSTAFF RD
RALEIGH, NC
ZIP 27610-840
Phone: (919) 231-9717
Fax: (919) 231-9754

The provider's authorized official is Jeffery Todd Edwards .
The authorized official title is Administrator and has the following contact phone number (919) 754-9422.

The enumeration date for this NPI number is 10/9/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthMHL-092-628NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18301228MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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