Danielle Fowler
Individual provider Active NPI Mental Illness Community Based Residential Treatment Facility · Graham, NC
NPI 1982730263 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1982730263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- Practice address
- 324 Walker Ave
Graham, NC 27253-2426 - Phone
- (336) 226-6449
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One More Chance Youth | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Yes |
Addresses
Primary practice location
324 Walker Ave
Graham, NC 27253-2426
Mailing address
1018 Moody St
Greensboro, NC 27401-4213
Other providers in Graham, NC
- Family Eye Care Group Inc
- Summer Necole Farlow
- Carly Walker Faulkenbury
- Page Hardison Feudale
- CJ Eubanks Fleming
- G N G Transportation LLC
- Olivia Gambocarto
- Jerry Garner Sr.
- Joseph Hans Garone III
- Geris LLC
All providers in Graham, NC · Mental Illness Community Based Residential Treatment Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.