Healthcare Provider Details

I. General information

NPI: 1982740312
Provider Name (Legal Business Name): RECLAMATION FAMILY SERVICES,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 11/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 HOSPITAL DR
WINDSOR NC
27983-1602
US

IV. Provider business mailing address

103 COMMERCE ST SUITE A
GREENVILLE NC
27858-5036
US

V. Phone/Fax

Practice location:
  • Phone: 252-209-1773
  • Fax: 252-794-4616
Mailing address:
  • Phone: 252-209-1773
  • Fax: 252-794-4616

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 NumberMHL008035
License Number StateNC

VIII. Authorized Official

Name: MRS. REGINA WILSON PEELE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 252-209-1773