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Organization
SIERRA'S RESIDENTIAL SERVICES, INC.
Active
Organization
SIERRA'S RESIDENTIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTTIE JEFFERY VANHOOK LCSW (CLINICAL DIRECTOR / PRESIDENT)
(910) 257-1156
Entity
Organization
Contact information
Practice address
1995 US 421 N, LILLINGTON, NC 27546-7436
(910) 814-4243
(910) 814-4245
Mailing address
PO BOX 655, LILLINGTON, NC 27546-0655
(910) 257-1156
(919) 498-6289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C002092
NC
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300458
—
NC
05
—
8300458B
—
NC
05
—
8300458G
—
NC
Enumeration date
09/03/2006
Last updated
07/21/2009
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