Organization
ROCKINGHAM OPPORTUNITIES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY E PRUETT (EXECUTIVE DIRECTOR)
(336) 342-4761
Entity
Organization
Contact information
Practice address
342 CHEROKEE CAMP RD, REIDSVILLE, NC 27320-8888
(336) 342-4761
(336) 342-0310
Mailing address
342 CHEROKEE CAMP RD, REIDSVILLE, NC 27320-8888
(336) 342-4761
(336) 342-0310
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-079-034
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802265
—
NC
Enumeration date
04/23/2007
Last updated
08/22/2020
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