WILLIAM THOMAS GORHAM NPI 1568230902

NPI Information

NPI: 1568230902
Provider Name: WILLIAM THOMAS GORHAM
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Individual
Address:
878 W STAR ST
GREENVILLE, NC
ZIP 27834
Phone: (252) 417-6829
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William Thomas Gorham 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. William Thomas Gorham NPI is 1568230902. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

878 W STAR ST
GREENVILLE, NC
ZIP 27834-844
Phone: (252) 417-6829

The enumeration date for this NPI number is 12/14/2023 and was last updated on 12/14/2023.

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	License State	Primary
1	251S00000X	Community/Behavioral Health	NORTH CAROLINA	No
2	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	NORTH CAROLINA	No
3	320800000X	Community Based Residential Treatment Facility, Mental Illness	NORTH CAROLINA	No
4	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children	NORTH CAROLINA	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: 5/5/2024

NPI Synchronization or Removal

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