Healthcare Provider Details

I. General information

NPI: 1033513197
Provider Name (Legal Business Name): RHA HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2014
Last Update Date: 10/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 MEMORIAL DR
JACKSONVILLE NC
28546-6333
US

IV. Provider business mailing address

215 MEMORIAL DR
JACKSONVILLE NC
28546-6333
US

V. Phone/Fax

Practice location:
  • Phone: 910-353-5118
  • Fax:
Mailing address:
  • Phone: 910-353-5118
  • 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 LOZANO
Title or Position: DIRECTOR
Credential: MBA, CPC-P
Phone: 404-968-2668