Suws of the Carolinas

Key facts

NPI

1992025860

Entity type

Organization (NPI type 2)

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X

License

MHL-059-032 (NC)

Legal business name

SUWS OF THE CAROLINAS

Practice address

363 Graphite Rd
Old Fort, NC 28762-9455

Phone

(828) 668-7590

Fax

(828) 668-3162

NPI assigned

Jun 2, 2010

Organization subpart

Yes

Parent organization (as reported)

CRC HEALTH

Authorized official

Name

Mrs. Leah Madamba, LPC, NCC

Title

Program Director

Phone

(828) 668-7590

Corporate family (same tax ID) 1

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

• Suws of the Carolinas Emotionally Disturbed Childrens' Residential Treatment Facility · Old Fort, NC · NPI 1740470798
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Alice Cennamo, LCSW Clinical Social Worker · Old Fort, NC · NPI 1588142707
  NPD (past)
• Kevin Waller, LPCS, LCAS, CCS Addiction (Substance Use Disorder) Counselor · Old Fort, NC · NPI 1023596244
  NPD (past)
• James B Skelton, LCSW, LCAS,LADC, CSI Clinical Social Worker · Portland, ME · NPI 1184263659
  NPD (past)

National Provider Directory

Tax ID family

Suws of the Carolinas (2 organizations share this tax ID)

Part of

Suws of the Carolinas

Locations

Specialties & licenses

Addresses

Other providers in Old Fort, NC

• Anna Shtymak, PA
• Katelind Smith, MSW
• Jennifer Ann Stulck, LCMHC
• John Robert Summerour, RPH
• Suws of the Carolinas
• The McDowell Hospital Inc
• Jon Charles Tripp, L.P.C.
• Kevin Waller, LPCS, LCAS, CCS
• Ware Family Medicine PLLC
• Brian Michael Ware, D.O.

All providers in Old Fort, NC · Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina