# SIERRA'S RESIDENTIAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295028629
- **Authorized official:** SCOTTIE VANHOOK (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (910) 257-1156

## Contact information

- **Practice address:** 1995 US 421 N, LILLINGTON, NC 27546-7436
- **Practice address phone:** (910) 257-1156
- **Mailing address:** PO BOX 655, LILLINGTON, NC 27546-0655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 05/18/2011
- **Last updated:** 05/18/2011