Organization
BENASIA HOUSE PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY MILES (FINANCE DIRECTOR)
(888) 326-3213
Entity
Organization
Contact information
Practice address
106 GILMER ST, REIDSVILLE, NC 27320-3870
(888) 326-3213
Mailing address
7416 MARSHAND LN, APT 723, CHARLOTTE, NC 28262
(888) 326-3213
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
221700000X
Art Therapist
—
—
222Q00000X
Developmental Therapist
—
—
225600000X
Dance Therapist
—
—
225A00000X
Music Therapist
—
—
247000000X
Health Information Technician
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QV0200X
VA Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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