Organization
THE BEAR ENTERPRISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STACEY WHITEHEAD (OWNER)
(919) 538-8945
Entity
Organization
Contact information
Practice address
9421 US 70 HWY WEST, CLAYTON , NC 27520, CLAYTON, NC 27527-4258
(919) 634-4094
Mailing address
355 BECKWITH AVE, CLAYTON, NC 27527-4258
(919) 634-4094
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
07/30/2021
Last updated
08/29/2025
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