Sierra's Residential Services, Inc.

NPI #1710160759 in Spring Lake, North Carolina

Provider Information

NPI Number
1710160759
Entity Type
Organization
Organization Name
Sierra's Residential Services, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
SIERRA'S RESIDENTIAL SERVICES, INC.
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Dec 13, 2007
Last Updated
Dec 13, 2007

Practice Location

Address
21 LANEXA RD
ZIP Code
28390-8274
Phone
(910) 497-4096

Authorized Official

Name
SCOTTIE JEFFERY VANHOOK, LCSW
Title
CLINICAL DIRECTOR/PRESIDENT
Phone
(910) 257-1156

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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