Provider Demographics
NPI:1417175902
Name:ROWAN VOCATIONAL OPPORTUNITIES, INC.
Entity Type:Organization
Organization Name:ROWAN VOCATIONAL OPPORTUNITIES, INC.
Other - Org Name:CABARRUS VOCATIONAL OPPORTUNITIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GARRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:YELTON
Authorized Official - Suffix:
Authorized Official - Credentials:QP
Authorized Official - Phone:704-633-6223
Mailing Address - Street 1:107 COMMERCIAL PARK DR SW
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-9014
Mailing Address - Country:US
Mailing Address - Phone:704-793-1314
Mailing Address - Fax:704-793-1317
Practice Address - Street 1:107 COMMERCIAL PARK DR SW
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-9014
Practice Address - Country:US
Practice Address - Phone:704-793-1314
Practice Address - Fax:704-793-1317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251C00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408843Medicare ID - Type Unspecified