Organization Name: | CAROLYN'S ASSISTED LIVING |
NPI Number: | 1386814135 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLYN BARNNETTE WHITLEY (OWNER) |
Mailing Address: | 1014 S Arendell Ave Zebulon |
State: | NC US |
Postal Code: | 275978210 |
Phone Number: | 9192693424 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2008 |
NPI Last Update Date: | 06/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | 261QM0850X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |