Provider Demographics
NPI:1124200704
Name:HEALTHPLUS THERAPEUTIC SERVICES INC
Entity Type:Organization
Organization Name:HEALTHPLUS THERAPEUTIC SERVICES INC
Other - Org Name:WASHINGTON YOUTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-670-0033
Mailing Address - Street 1:211 N MARKET ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-4949
Mailing Address - Country:US
Mailing Address - Phone:252-948-0333
Mailing Address - Fax:252-948-0933
Practice Address - Street 1:1724 CAROLINA AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-3315
Practice Address - Country:US
Practice Address - Phone:252-946-9082
Practice Address - Fax:252-946-9319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-007-066251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health