Bethel Provider Services INC

NPI #1316275225 in Browns Summit, North Carolina

Provider Information

NPI Number: 1316275225
Entity Type: Organization
Organization Name: Bethel Provider Services INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 4, 2009
Last Updated: Dec 4, 2009

Practice Location

Address: 5204 CARRIAGE WOODS DR
City: Browns Summit
State: North Carolina
ZIP Code: 27214-9459
Phone: (336) 340-4124

Authorized Official

Name: MS. SEKINAT OLLA
Title: OWNER
Phone: (336) 340-4124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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