National Provider Identifier Database

ADOLESCENT CARE CENTER
Student Health


Contact Information

ADOLESCENT CARE CENTER
88 US HIGHWAY 158 W
GATESVILLE, NC27938-9438
Phone: 252-357-1244
Fax: 252-357-1690
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for ADOLESCENT CARE CENTER

NPI Number 1083807325
Legal business name
LBN
ADOLESCENT CARE CENTER
Authorized official SYLIVA BOONE - (OFFICE MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 08/21/2007
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • NC Medicaid: 8701702

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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