CRC ED TREATMENT, INC. DBA CAROLINA HOUSE (NPI# 1740669308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740669308 |
| Entity Type | Organization |
| Organization Name | CRC ED TREATMENT, INC. DBA CAROLINA HOUSE |
| Other Organization Name | CAROLINA HOUSE |
| Practice Address |
176 Lassiter Homestead Rd Durham NC 27713-6835 |
| Mailing Address |
6100 Tower Cir Ste 1000 Franklin TN 37067-1509 |
| Practice Telephone | 9196414397 |
| Practice Fax Number | 8557310163 |
| Mailing Telephone | 6158616000 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2018-10-03 |
| Authorized Official Name | CHRISTOPHER HOWARD (VP & TREASURER) |
| Authorized Official Telephone | 6158616000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 019041 | NC | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Carolina House | Doing Business As Name - Organization |
| Street Address |
176 LASSITER HOMESTEAD RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-6835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376630533 | Crc Ed Treatment, Inc | Psychiatric Residential Treatment Facility | 176 Lassiter Homestead Rd, Durham, NC 27713-6835 | 2006-10-09 |
| 1063048403 | Elisa Johnson | Social Worker | 176 Lassiter Homestead Rd, Durham, NC 27713-6835 | 2020-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093253478 | Tree of Life Transportation | Community Based Residential Treatment Facility, Mental Illness | 5067 Rainmaker Dr, Durham, NC 27704-2299 | 2017-02-06 |
| 1538421821 | Seven Oaks Family Care Home Inc | Community Based Residential Treatment Facility, Mental Illness | 234 Seven Oaks Rd, Durham, NC 27704-1125 | 2012-06-12 |
| 1164667036 | Anfo Children and Adult Services | Community Based Residential Treatment Facility, Mental Illness | 3604 Witherspoon Blvd, Suite 111, Pmb 233, Durham, NC 27707-6850 | 2008-12-08 |
| 1942445903 | Universal Care and Development | Community Based Residential Treatment Facility, Mental Illness | 910 Belvin Ave, Durham, NC 27704-3332 | 2008-12-04 |
| 1154589208 | The Mental Health Association In Nc, Inc | Community Based Residential Treatment Facility, Mental Illness | 708 Raynor St, Apt A-1, Durham, NC 27703-2239 | 2008-05-27 |
| 1922273960 | The Mental Health Association In North Carolina, Inc | Community Based Residential Treatment Facility, Mental Illness | 409 Ebon Rd, Durham, NC 27713-1621 | 2008-04-29 |
| 1114192259 | The Mental Health Association In North Carolina, Inc | Community Based Residential Treatment Facility, Mental Illness | 1524 Southwood Dr, Durham, NC 27707-2114 | 2008-04-29 |
| 1225207491 | Resources for Human Development, Inc. | Community Based Residential Treatment Facility, Mental Illness | 947 Clarion Dr, Durham, NC 27705-1730 | 2008-02-21 |
| 1508049107 | Removing Mountains | Community Based Residential Treatment Facility, Mental Illness | 1115 Chalk Level Road, Durham, NC 27704-1527 | 2007-12-06 |
| 1164611760 | New Horizon | Community Based Residential Treatment Facility, Mental Illness | 801 Lorain Ave, Durham, NC 27704-3023 | 2007-10-18 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.