Provider Demographics
NPI:1306362462
Name:REDISTRICT BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:REDISTRICT BEHAVIORAL HEALTH LLC
Other - Org Name:ADVANCED PLACEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-287-8764
Mailing Address - Street 1:5665 ANGEL OAKS DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27105-9115
Mailing Address - Country:US
Mailing Address - Phone:336-287-8763
Mailing Address - Fax:888-960-2638
Practice Address - Street 1:1712 I ST NW STE 1006
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-3702
Practice Address - Country:US
Practice Address - Phone:336-287-8764
Practice Address - Fax:888-960-2638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-20
Last Update Date:2017-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health