Organization
SIERRA'S RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTTIE VANHOOK (EXECUTIVE DIRECTOR)
(910) 257-1156
Entity
Organization
Contact information
Practice address
1995 US 421 N, LILLINGTON, NC 27546-7436
(910) 257-1156
Mailing address
PO BOX 655, LILLINGTON, NC 27546-0655
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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