HILLS DDA GROUP HOME INC NPI 1053595546

NPI Information

NPI: 1053595546
Provider Name: HILLS DDA GROUP HOME INC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2017 EAST RIDGE CIR
KINSTON, NC
ZIP 28501
Phone: (252) 522-4869
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HILLS DDA GROUP HOME INC is an adult mental health clinic center in Kinston, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. HILLS DDA GROUP HOME INC NPI is 1053595546. The provider is registered as an organization entity type.

The provider's business location address is:

2017 EAST RIDGE CIR
KINSTON, NC
ZIP 28501
Phone: (252) 522-4869

The provider's authorized official is Alicetine P Rouse .
The authorized official title is Administrator and has the following contact phone number (252) 522-4869.

The enumeration date for this NPI number is 12/20/2007 and was last updated on 7/21/2008.

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	261QM0850X	Clinic/Center	Adult Mental Health	MHL054111	NORTH CAROLINA	No
2	261QM0850X	Clinic/Center	Adult Mental Health			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	Other Provider Identifier Issuer
1	7805117	MEDICAID	NORTH CAROLINA
2	MHL054111	OTHER	NORTH CAROLINA	LICENSE #

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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