CRC ED TREATMENT LLC NPI 1376630533

NPI Information

NPI: 1376630533
Provider Name: CRC ED TREATMENT, LLC

Doing Business As: CAROLINA HOUSE

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
176 LASSITER HOMESTEAD RD
DURHAM, NC
ZIP 27713
Phone: (919) 372-7942
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CRC ED TREATMENT, LLC is a community based residential treatment facility mental illness in Durham, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. CRC ED TREATMENT, LLC NPI is 1376630533. The provider is registered as an organization entity type.
The provider Is Doing Business As Carolina House.

The provider's business location address is:

176 LASSITER HOMESTEAD RD
DURHAM, NC
ZIP 27713-835
Phone: (919) 372-7942
Fax: (919) 484-0451

The provider's authorized official is Brian P Farley .
The authorized official title is Vp & Secretary and has the following contact phone number (615) 861-6000.

The enumeration date for this NPI number is 10/9/2006 and was last updated on 9/18/2023.

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	323P00000X	Psychiatric Residential Treatment Facility		MHL019041	NORTH CAROLINA	No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

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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