Organization Name: | ADVANTAGE REHAB INC |
NPI Number: | 1730321951 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERNEST RICHARD CHAMBERS (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 710 House Ave Scotland Neck |
State: | NC US |
Postal Code: | 278741140 |
Phone Number: | 2528260312 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2009 |
NPI Last Update Date: | 04/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |