Healthcare Provider Details

I. General information

NPI: 1437297801
Provider Name (Legal Business Name): RIGHT TRACK HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 10/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W MAIN ST SUITE # B20
DURHAM NC
27701-3228
US

IV. Provider business mailing address

201 W MAIN ST SUITE # B20
DURHAM NC
27701-3228
US

V. Phone/Fax

Practice location:
  • Phone: 919-685-7012
  • Fax: 919-687-4936
Mailing address:
  • Phone: 919-337-3865
  • Fax: 919-687-4936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License NumberMHL# 032-287
License Number StateNC

VIII. Authorized Official

Name: MR. STEVEN DEDRICK FLETCHER
Title or Position: OWNER
Credential: MS
Phone: 919-685-7012