Rebirth Family Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

REBIRTH FAMILY SERVICES LLC

Practice address

1404 Wall Rd Ste 300E
Wake Forest, NC 27587-7470

Phone

(919) 348-6613

NPI assigned

Oct 28, 2019

Organization subpart

No

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

Authorized official

Name

Ruth Wilson

Title

Director

Phone

(919) 348-6613

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1710521273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S MAIN ST STE 682",
            "city": "FRANKLINTON",
            "state": "NC",
            "postal_code": "275251520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 WALL RD STE 300E",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877470",
            "telephone_number": "919-348-6613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 S Main St Ste 682",
            "address_purpose": "LOCATION",
            "city": "Franklinton",
            "state": "NC",
            "postal_code": "275251520",
            "country_code": "US",
            "telephone_number": "919-348-6613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REBIRTH FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-348-6613"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.