Healthcare Provider Details

I. General information

NPI: 1326505835
Provider Name (Legal Business Name): RHA BEHAVIORAL HEALTH NC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2019
Last Update Date: 02/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 4TH ST
BLADENBORO NC
28320-9407
US

IV. Provider business mailing address

1819 PEACHTREE RD NE STE 450
ATLANTA GA
30309-1853
US

V. Phone/Fax

Practice location:
  • Phone: 828-232-6844
  • Fax:
Mailing address:
  • Phone: 404-364-2900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER D LOZANO
Title or Position: VP FINANCIAL SERVICES
Credential:
Phone: 404-968-2663