Organization
ENVIRO-MENTAL BEHAVIOR GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITISHA RATLIFF (OWNER)
(336) 803-0316
Entity
Organization
Contact information
Practice address
416 MCCAIN RD, MILTON, NC 27305-9402
(336) 803-0316
Mailing address
1215 MACOY DR, GRAHAM, NC 27253-9837
(336) 803-0316
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/06/2023
Last updated
06/03/2025
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