A Greater Power With Inn

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-064-094 Issued in NC

Legal business name

A GREATER POWER WITH INN

Practice address

3784 Old County Home Rd
Nashville, NC 27856-8992

Phone

(252) 459-8777

NPI assigned

Oct 24, 2008

Last updated

Dec 8, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Wilhelmenia Debro

Title

Owner

Phone

(252) 459-8777

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1073766820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3784 OLD COUNTY HOME RD",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278568992",
            "telephone_number": "252-459-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3784 OLD COUNTY HOME RD",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278568992",
            "telephone_number": "252-459-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A GREATER POWER WITH INN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "DEBRO",
        "authorized_official_first_name": "WILHELMENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-459-8777",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-064-094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minoo Abdollahzadehfard
• Venita Michelle Alston, LCMHC
• Omer Ansari
• Godfried A Arthur, MD
• Audacious Logistics LLC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Nashville, NC
• Providers in Nashville, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.