Organization
RHA HEALTH SERVICES NC, LLC
Active
Other names
GRAHAM AFL
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER D LOZANO MBA (DIRECTOR OF REVENUE CYCLE)
(404) 364-2900
Entity
Organization
Contact information
Practice address
13100 DEBRA DR, LAURINBURG, NC 28352-8471
(910) 390-4148
(910) 390-4148
Mailing address
1819 PEACHTREE RD NE, STE 450, ATLANTA, GA 30309-1848
(404) 364-2900
(404) 364-2901
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-083-052
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHL-083-052
LICENSE
NC
Enumeration date
06/29/2011
Last updated
10/25/2015
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