Organization
CRC ED TREATMENT, LLC
Active
Other names
Carolina House
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN P FARLEY (VP & SECRETARY)
(615) 861-6000
Entity
Organization
Contact information
Practice address
176 LASSITER HOMESTEAD RD, DURHAM, NC 27713-6835
(919) 372-7942
(919) 484-0451
Mailing address
6100 TOWER CIR STE 1000, FRANKLIN, TN 37067-1509
(615) 861-6000
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
MHL019041
NC
Other
Enumeration date
10/09/2006
Last updated
09/18/2023
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