Therapeutic Behavioral Healthcare Services

Organization Active NPI Developmentally Disabled Services Day Training Agency · Fairmont, NC

NPI 1104158047 · NPPES record last updated Feb 3, 2010

Key facts

NPI
1104158047
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
Legal business name
THERAPEUTIC BEHAVIORAL HEALTHCARE SERVICES
Practice address
302 N Main St
Fairmont, NC 28340-1730
Phone
(910) 628-0556
NPI assigned
Feb 3, 2010
Organization subpart
No

Authorized official

Name
Mr. Willie E. Spruill
Title
Ceo
Phone
(910) 628-5655

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Therapeutic Behavioral Healthcare Services (6 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Yes

Addresses

Primary practice location

302 N Main St
Fairmont, NC 28340-1730

Mailing address

PO Box 1664
Fairmont, NC 28340-1103
Phone (910) 628-5655

Other providers in Fairmont, NC

All providers in Fairmont, NC · Developmentally Disabled Services Day Training Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.