Organization · NPI-2

Americorp Behavioral Health LLC

Residential Treatment Facility, Emotionally Disturbed Children · Raleigh, NC

NPI number1831592864
StatusActive
Last updated in NPPESMar 30, 2015

Details

NPI
1831592864
Entity type
Organization (NPI-2)
Legal business name
Americorp Behavioral Health LLC
Organization subpart
No
Enumeration date
Oct 5, 2014
Last updated
Mar 30, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
322D00000X Residential Treatment Facility, Emotionally Disturbed ChildrenMHL-09-2503NCYes
101YM0800X Counselor, Mental HealthC 000396NC

Practice location

304 W Millbrook Rd Ste F
Raleigh, NC 27609-4381

Phone 919-329-2630

Mailing address

1320 Main St Ste 300
Columbia, SC 29201-3266

Phone 919-696-6071

Authorized official

Ignacio Kirk
Ceo
9196966071

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