SECOND NATURE BLUE RIDGE CAROLINA – NPI #1124301676
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.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

SECOND NATURE BLUE RIDGE CAROLINA is a community based residential treatment facility located in OTTO, NC. NPPES has assigned the NPI number 1124301676 to SECOND NATURE BLUE RIDGE CAROLINA on September 21, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SECOND NATURE BLUE RIDGE CAROLINA below.

NPI Profile for
SECOND NATURE BLUE RIDGE CAROLINA

NPI Number
1124301676
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SECOND NATURE BLUE RIDGE CAROLINA
Primary location
16 SWISS VILLAGE ROAD
OTTO, NC 28763
Phone: (706) 212-2037 Fax:
Mailing address
PO BOX 809
CLAYTON, GA 30525-0021
Phone: Fax:
Organization Subpart
No
Authorized Official
DAN MCDOUGAL
PROGRAM DIRECTOR
Phone: (706) 212-2037
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)		 NC MHL056024

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.