# SIERRA'S RESIDENTIAL SERVICES, INC.

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

## Provider details

- **NPI number:** 1649589425
- **Authorized official:** MR. SCOTTIE JEFFERY VANHOOK MSW, LCSW (CLINICAL DIRECTOR)
- **Authorized official phone:** (910) 814-4243

## Contact information

- **Practice address:** 1995 US 421 N, LILLINGTON, NC 27546-7436
- **Practice address phone:** (910) 814-4243
- **Practice address fax:** (910) 814-4245
- **Mailing address:** PO BOX 655, LILLINGTON, NC 27546-0655
- **Mailing address phone:** (910) 814-4243
- **Mailing address fax:** (910) 814-4245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | C002092 | NC | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | C002092 | NC | Yes |

## Other

- **Enumeration date:** 09/28/2010
- **Last updated:** 09/30/2010