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CREATIVE JOURNEY UNITED LLC NPI 1639822836


NPI Information

NPI: 1639822836
Provider Name: CREATIVE JOURNEY UNITED LLC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
478 GREEN LAKE RD
ROCKINGHAM, NC
ZIP 28379
Phone: (910) 817-9021
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CREATIVE JOURNEY UNITED LLC is a residential treatment facility emotionally disturbed children in Rockingham, 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. CREATIVE JOURNEY UNITED LLC NPI is 1639822836. The provider is registered as an organization entity type.

The provider's business location address is:

478 GREEN LAKE RD
ROCKINGHAM, NC
ZIP 28379-850
Phone: (910) 817-9021
Fax: (910) 817-9092

The provider's authorized official is Brenda Loreal Dumas .
The authorized official title is Chief Executive Officer and has the following contact phone number (910) 975-4609.

The enumeration date for this NPI number is 1/28/2022 and was last updated on 2/4/2022.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

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: 5/5/2024

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