Healthcare Provider Details

I. General information

NPI: 1982958740
Provider Name (Legal Business Name): RHA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2012
Last Update Date: 11/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 MORGANTON BLVD SW
LENOIR NC
28645-9691
US

IV. Provider business mailing address

2415 MORGANTON BLVD SW
LENOIR NC
28645-9691
US

V. Phone/Fax

Practice location:
  • Phone: 828-394-5563
  • Fax:
Mailing address:
  • Phone: 828-394-5563
  • 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: CONNIE HEFNER
Title or Position: HR COORDINATOR
Credential:
Phone: 828-394-5563