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Organization

SIPES ORCHARD HOME

Active
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Organization

SIPES ORCHARD HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN L PHELPS ED.D (CEOPRESIDENT)
(828) 256-5056
Entity
Organization

Contact information

Practice address
4431 COUNTY HOME RD, CONOVER, NC 28613-9641
(828) 256-5056
(828) 256-4031
Mailing address
4431 COUNTY HOME RD, CONOVER, NC 28613-9641
(828) 256-5056
(828) 256-4031

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
MHL-018065
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-018063
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-018080
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603256
—
NC
05
—
6603275
—
NC
05
—
8301368
—
NC
05
—
8301368R
—
NC
Enumeration date
02/06/2007
Last updated
09/11/2025
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