Organization
RUTHS COVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANITA DAVIS (QUALIFIED PROFESSIONAL)
(336) 342-3135
Entity
Organization
Contact information
Practice address
155 COOK FLORIST RD, REIDSVILLE, NC 27320-8650
(336) 342-3135
Mailing address
141 COOK FLORIST RD, REIDSVILLE, NC 27320-8650
(336) 342-3135
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL079122
NC
324500000X
Substance Abuse Rehabilitation Facility
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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