Crestbrook Rehabilitation

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

CRESTBROOK REHABILITATION

Practice address

2814 Liberty Oaks Dr Apt a
Greensboro, NC 27406-9754

Phone

(336) 587-1424

NPI assigned

Aug 7, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Lamont Dewayne Dunlap

Title

Ceo

Phone

(336) 587-1424

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1659757110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 LIBERTY OAKS DR APT A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274069754",
            "telephone_number": "336-587-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 LIBERTY OAKS DR APT A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274069754",
            "telephone_number": "336-587-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTBROOK REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "LAMONT",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-587-1424",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crecer Speech and Language Therapy, PLLC
• Virginia Creed
• Brian Sanders Crenshaw, M.D.
• Chauncie D Crenshaw
• John Victor Cresenzo
• Melonie Alicia Crews-Foye, PHARM D
• David A. Crews, MD
• Isaac Crews
• Sarah Beth Crickenberger
• Stacie Ann Crider, MA CCC SLP

• Mental Illness Community Based Residential Treatment Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.