Rose of Sharon Adolescent Treatment Home II
NPI #1629113170 in Clayton, North Carolina
Provider Information
- NPI Number
- 1629113170
- Entity Type
- Organization
- Organization Name
- Rose of Sharon Adolescent Treatment Home II
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ROSE OF SHARON ADOLESCENT TREATMENT HOME
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Feb 21, 2007
- Last Updated
- Jun 2, 2009
Practice Location
- Address
- 2885 BENNINGTON DR
- City
- Clayton
- State
- North Carolina
- ZIP Code
- 27520-5971
- Phone
- (919) 553-3383
Authorized Official
- Name
- MRS. SHARON WINSTEAD PETTIFORD
- Title
- CEO
- Phone
- (919) 550-2648
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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