Provider Demographics
NPI:1114733318
Name:RHA BEHAVIORAL HEALTH NC LLC
Entity type:Organization
Organization Name:RHA BEHAVIORAL HEALTH NC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP FINANCIAL SERICES
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:D
Authorized Official - Last Name:LOZANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-630-7290
Mailing Address - Street 1:211 PERIMETER CENTER PKWY NE STE 750
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30346-1318
Mailing Address - Country:US
Mailing Address - Phone:800-848-0180
Mailing Address - Fax:
Practice Address - Street 1:963 KIRKPATRICK RD LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8911
Practice Address - Country:US
Practice Address - Phone:800-848-0180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health