SELAH MENTAL HEALTH SERVICES
NPI 1073846911
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lumberton, NC
- Organization
- Community Based Residential Treatment Fa...
About SELAH MENTAL HEALTH SERVICES
This page provides the complete NPI Profile along with additional information for Selah Mental Health Services, a provider established in Lumberton, North Carolina operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1073846911 assigned on September 2009. The practitioner's primary taxonomy code is 320900000X with license number MHL078109 (NC). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Ms. Twyla Vereen Ba (Executive Director)
- NPI
- 1073846911 Verify this NPI
- Provider Name
- SELAH MENTAL HEALTH SERVICES
- Entity Type
- Organization
- Location Address
- 3508 CLIFFRIDGE DR LUMBERTON, NC 28358
- Location Phone
- (910) 671-9070
- Location Fax
- (910) 862-6121
- Mailing Address
- 1206 TWISTED HICKORY RD ELIZABETHTOWN, NC 28337
- Mailing Phone
- (910) 862-2484
- Mailing Fax
- (910) 862-6121
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-10-2009
- Last Update Date
- 09-10-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- License No.
- MHL078109
- License State
- NC
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | MHL009025 (NC) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073846911, enumerated as an "organization" on September 10, 2009.
The provider is located at 3508 CLIFFRIDGE DR LUMBERTON, NC 28358 and the phone number is (910) 671-9070.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
