<unavail> in Roxboro, NC - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

is a mental health clinic (Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities) in Roxboro, North Carolina. The current practice location for is 192 Country Club Rd # 27574, 4694 Chub Lake Rd, Roxboro, North Carolina. For appointments, you can reach them via phone at (336) 599-5473. The mailing address for is 192 Country Club Rd # 27574, P O Box 1636 27573, Roxboro, North Carolina and phone number is (336) 599-5473.

is licensed to practice in North Carolina (license number MHL-073-061) and its NPI number is 1710326079. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (336) 599-5473.

Contact Information


	192 Country Club Rd # 27574 4694 Chub Lake Rd Roxboro NC 27574-7448
	(336) 599-5473
	(336) 599-8186

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Location	192 Country Club Rd # 27574, Roxboro, North Carolina
Authorized Official Name and Position	Peggy Davis- Mcdaniel (DIRECTOR)
Authorized Official Contact	3365995473
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
192 Country Club Rd # 27574 P O Box 1636 27573 Roxboro NC 27574-7448 Ph: (336) 599-5473	192 Country Club Rd # 27574 4694 Chub Lake Rd Roxboro NC 27574-7448 Ph: (336) 599-5473

NPI Details:

NPI Number	1710326079
Provider Enumeration Date	06/20/2013
Last Update Date	12/12/2019
Certification Date	12/12/2019

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710326079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
251S00000X	Community/behavioral Health	(* (Not Available))	Secondary
311ZA0620X	Custodial Care Facility - Adult Care Home	MHL 073-061 (North Carolina)	Secondary
320900000X	Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities	MHL-073-061 (North Carolina)	Primary
385HR2060X	Respite Care - Respite Care, Intellectual And/or Developmental Disabilities, Child	(* (Not Available))	Secondary

Reviews and Comments

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Roxboro, NC

Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Bumpass Ln Unit 3, Roxboro, NC 27573 Phone: 336-599-9421 Fax: 336-599-7220
Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 623 Henry St, Roxboro, NC 27573 Phone: 336-599-9421 Fax: 336-599-7220
Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 Maggie Ln, Roxboro, NC 27573 Phone: 336-599-9171
Rh A Health Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Weeks Dr, Roxboro, NC 27573 Phone: 800-848-0180
Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 N Charles St Unit C, Roxboro, NC 27573 Phone: 336-599-9421 Fax: 336-599-7220
Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Old Allensville Road, Roxboro, NC 27574 Phone: 336-599-9863
Triumph, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 355 S Madison Blvd, Suite C2, Roxboro, NC 27573 Phone: 336-597-2065 Fax: 336-597-2116

- Mental Health Clinic in Roxboro, NC