Provider Demographics
NPI:1336316892
Name:NOACIN, INC.
Entity type:Organization
Organization Name:NOACIN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHASHANAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-758-5930
Mailing Address - Street 1:924 ELLERY DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-0066
Mailing Address - Country:US
Mailing Address - Phone:252-758-5930
Mailing Address - Fax:252-758-1305
Practice Address - Street 1:924 ELLERY DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-0066
Practice Address - Country:US
Practice Address - Phone:252-758-5930
Practice Address - Fax:252-758-1305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC074-182322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children