Doctor Name: | MR. RONALD SHEDRICK CAPEL |
NPI Number: | 1093948341 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CARF |
License Number: | |
Business Practice Address: | 1007 E Caswell St Wadesboro, NC - 281702375 |
Business Phone Number: | 7049942797 |
Business Fax Number: | 8009480651 |
Mailing Address: | 1007 East Caswell St, WADESBORO |
State: | NC |
Postal Code: | 281702375 |
Phone Number: | 7049942797 |
Fax Number: | 8009480651 |
NPI Enumeration Date: | 09/02/2009 |
NPI Last Update Date: | 09/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |