RESTART INC NPI 1386794550

NPI Information

NPI: 1386794550
Provider Name: RESTART, INC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
3300 PINETREE LN
GREENVILLE, NC
ZIP 27858
Phone: (252) 355-4725
Get Directions

RESTART, INC is a residential treatment facility emotionally disturbed children in Greenville, NC. The provider is 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. RESTART, INC NPI is 1386794550. The provider is registered as an organization entity type.

The provider's business location address is:

3300 PINETREE LN
GREENVILLE, NC
ZIP 27858-293
Phone: (252) 355-4725
Fax: (252) 355-0444

The provider's authorized official is Dennis Mitchell .
The authorized official title is Ceo and has the following contact phone number (252) 355-4725.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 4/25/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		MHL-074-166	NORTH CAROLINA	No
2	101YM0800X	Counselor	Mental Health			No
3	106H00000X	Marriage & Family Therapist				No
4	1041C0700X	Social Worker	Clinical			No
5	251S00000X	Community/Behavioral Health				No
6	251B00000X	Case Management				No
7	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		MHL-074-149	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	6603991	MEDICAID	NORTH CAROLINA
2	8300389G	MEDICAID	NORTH CAROLINA
3	6604078	MEDICAID	NORTH CAROLINA
4	8301850	MEDICAID	NORTH CAROLINA
5	8300389B	MEDICAID	NORTH 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

NPI Synchronization or Removal

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