ADOLESCENT CARE CENTER; NPI #1083807325

Contact Information

ADOLESCENT CARE CENTER

88 US HIGHWAY 158 W
GATESVILLE, NC 27938-9438

Phone: 252-357-1244
Fax: 252-357-1690
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Student Health	261QS1000X

Indicates primary specialty

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NPI Profile & details for ADOLESCENT CARE CENTER

NPI Number 1083807325

LBN Legal business name ADOLESCENT CARE CENTER

Authorized official SYLIVA BOONE - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 08/21/2007

Last updated 07/21/2022 - About 4 years ago

Identifiers

Medicaid

8701702

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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