POOLE RD
NPI 1699837500
Community Based Residential Treatment Facility, Mental Illness in Raleigh, NC
- Organization
- Community Based Residential Treatment Fa...
About POOLE RD
This page provides the complete NPI Profile along with additional information for Poole Rd, a provider established in Raleigh, North Carolina operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1699837500 assigned on December 2006. The practitioner's primary taxonomy code is 320800000X with license number 092-271 (NC). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Poole Rd. The authorized official of this NPI record is Tara Fields (Director Of Operations)
- NPI
- 1699837500 Verify this NPI
- Provider Legal Name
- AMERICAN HUMAN SERVICES, INC.
- Other Organization Name
- POOLE RD
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 2755 POOLE RD RALEIGH, NC 27610
- Location Phone
- (919) 851-5114
- Mailing Address
- PO BOX 37399 RALEIGH, NC 27627
- Mailing Phone
- (919) 851-5114
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-15-2006
- Last Update Date
- 08-22-2020
- 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, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- License No.
- 092-271
- License State
- NC
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699837500, enumerated as an "organization" on December 15, 2006.
The provider is located at 2755 POOLE RD RALEIGH, NC 27610 and the phone number is (919) 851-5114.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
