Healthcare Provider Details

I. General information

NPI: 1336039189
Provider Name (Legal Business Name): RHA HEALTH SERVICES NC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2025
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 BUSHBERRY CT
GARNER NC
27529-4971
US

IV. Provider business mailing address

211 PERIMETER CENTER PKWY NE STE 750
ATLANTA GA
30346-1318
US

V. Phone/Fax

Practice location:
  • Phone: 800-848-0180
  • Fax:
Mailing address:
  • Phone: 800-848-0180
  • 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: SVP FINANCIAL SERVICES
Credential:
Phone: 770-630-7290