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General NPI Number Information
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NPI Number | 1396927976
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Entity Type | Organization
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Legal Business Name | HEALTHPLUS THERAPEUTIC SERVICES INC
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Dates
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Enumeration Date | 12/05/2007
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Last Update Date | 06/30/2009
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Provider Practice Location Address
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Address Line | 205 GREENBRIAR DR
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City | GREENVILLE
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State | NC
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Zip | 27834-9699
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Country | US
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Telephone | 252-321-0400
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Fax | 252-353-0401
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Provider Business Mailing Address
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Address Line | PO BOX 158
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City | WASHINGTON
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State | NC
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Zip | 27889-0158
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Country | US
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Telephone | 252-948-0333
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Fax | 252-948-0933
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Authorized Official
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Title or Position | CEO
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Name | MR. MIKE LOWE
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Credential |
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Telephone | 910-670-0033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | MHL-074-143
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License Number State | NC
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