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GHA AUTISM SUPPORTS NPI 1962836460


NPI Information

NPI: 1962836460
Provider Name: GHA AUTISM SUPPORTS

Doing Business As: PORT CITY ACADEMY

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
20 N 4TH ST
SUITE 300B
WILMINGTON, NC
ZIP 28401
Phone: (704) 982-9600
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GHA AUTISM SUPPORTS is a community behavioral health in Wilmington, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. GHA AUTISM SUPPORTS NPI is 1962836460. The provider is registered as an organization entity type.
The provider Is Doing Business As Port City Academy.

The provider's business location address is:

20 N 4TH ST
SUITE 300B
WILMINGTON, NC
ZIP 28401-553
Phone: (704) 982-9600
Fax: (704) 982-8155

The provider's authorized official is Dawn Harwood Allen .
The authorized official title is Ceo and has the following contact phone number (704) 982-9600.

The enumeration date for this NPI number is 9/3/2013 and was last updated on 9/28/2020.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
2251S00000XCommunity/Behavioral HealthYes

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
13408844MEDICAIDNORTH 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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