Organization Name: | VISIONS ADOLESCENCE CARE FACILITY, INC |
NPI Number: | 1336395623 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGORY L HOPKINS (EXECUTIVE DIRECTOR/OWNER) |
Mailing Address: | 1012 Richardson Dr Reidsville |
State: | NC US |
Postal Code: | 273203859 |
Phone Number: | 3363421136 |
Fax Number: | 3363421196 |
NPI Enumeration Date: | 08/18/2008 |
NPI Last Update Date: | 08/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | MHL-079-062 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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. |