Humble Spirit Foundation

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

HUMBLE SPIRIT FOUNDATION

Practice address

925 Quebec Rd
Colerain, NC 27924-9224

Phone

(252) 287-6333

NPI assigned

Dec 3, 2008

Last updated

Dec 3, 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

Dr. Viola Vaughan Holland, PHD

Title

Retired Principal

Phone

(252) 356-4108

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1881839009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 QUEBEC RD",
            "city": "COLERAIN",
            "state": "NC",
            "postal_code": "279249224",
            "telephone_number": "252-356-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 QUEBEC RD",
            "city": "COLERAIN",
            "state": "NC",
            "postal_code": "279249224",
            "telephone_number": "252-287-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBLE SPIRIT FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "VIOLA",
        "authorized_official_middle_name": "VAUGHAN",
        "authorized_official_title_or_position": "RETIRED PRINCIPAL",
        "authorized_official_telephone_number": "252-356-4108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Colerain, NC
• Providers in Colerain, 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 3, 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.