Organization
RESIDENTIAL TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON OSBORNE (DIRECTOR)
(336) 227-2994
Entity
Organization
Contact information
Practice address
136 HALL AVE, BURLINGTON, NC 27217-2310
(336) 227-2994
(336) 227-2996
Mailing address
PO BOX 427, BURLINGTON, NC 27216-0427
(336) 227-2994
(336) 227-2994
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
MHL-001-016
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803872
—
NC
05
—
7804821
—
NC
05
—
8301474
—
NC
Enumeration date
02/21/2007
Last updated
06/01/2016
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