Organization
RHA HEALTH SERVICES NC, LLC
Active
Other names
Elm Street DDA
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LOZANO MBA, CPC-P (DIRECTOR)
(404) 968-2663
Entity
Organization
Contact information
Practice address
504 S ELM ST, MAXTON, NC 28364-2218
(910) 844-1817
Mailing address
1819 PEACHTREE RD NE, SUITE 450, ATLANTA, GA 30309-1848
(404) 364-2900
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/26/2014
Last updated
09/16/2015
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