MEDICARE: RHA BEHAVIORAL HEALTH NC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1144680802
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RHA BEHAVIORAL HEALTH NC LLC

Provider Business Mailing Address
First Line	:	1819 PEACHTREE RD NE
Second Line	:	STE 450
City	:	ATLANTA
State	:	GA
Zip	:	30309-1848
Country	:	US
Telephone Number	:	404-364-2900
Fax Number	:

Provider Business Practice Location Address
First Line	:	3710 JOHN PLATT DR STE A
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-4372
Country	:	US
Telephone Number	:	252-240-1482
Fax Number	:

Authorized Official
Title or Position	:	VP - FINANCIAL SERVICES
Name	:	JENNIFER D LOZANO
Credential	:	MBA, CPC-P
Telephone Number	:	404-968-2663

Provider Enumeration Date	:	02/24/2016
Last Update Date	:	08/16/2022

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