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ROCKWOOD FOREST NPI 1467521781


NPI Information

NPI: 1467521781
Provider Name: ROCKWOOD FOREST
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
3124 MILTON RD
SUITE 231
CHARLOTTE, NC
ZIP 28215
Phone: (704) 566-6134
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ROCKWOOD FOREST is a residential treatment facility emotionally disturbed children in Charlotte, 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. ROCKWOOD FOREST NPI is 1467521781. The provider is registered as an organization entity type.

The provider's business location address is:

3124 MILTON RD
SUITE 231
CHARLOTTE, NC
ZIP 28215-008
Phone: (704) 566-6134
Fax: (704) 566-6136

The provider's authorized official is Clarissa Henry .
The authorized official title is Director Business Development and has the following contact phone number (704) 566-6134.

The enumeration date for this NPI number is 11/8/2006 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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-060-806NORTH 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
16603300MEDICAIDNORTH 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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