Sequel Tsi Of North Carolina, LLC
Psychiatric Residential Treatment Facility in Pittsboro, NC. Organization (NPI-2).
NPI number1679802458
StatusActive
Last updated in NPPESDec 8, 2009
Details
- NPI
- 1679802458
- Entity type
- Organization (NPI-2)
- Legal business name
- Sequel Tsi Of North Carolina, LLC
- Organization subpart
- No
- Enumeration date
- Dec 8, 2009
- Last updated
- Dec 8, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 323P00000X | Psychiatric Residential Treatment Facility | – | – | Yes |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | – |
Practice location
2480 Hadley Mill RdPittsboro, NC 27312-7832
Phone 919-542-1104 · Fax 919-542-5565
Mailing address
Po Box 1370Pittsboro, NC 27312-1370
Phone 919-542-1104 · Fax 919-542-5565
Authorized official
John Stupak
President
2674198913
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