Provider Demographics
NPI:1437297801
Name:RIGHT TRACK HEALTHCARE, INC
Entity Type:Organization
Organization Name:RIGHT TRACK HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:DEDRICK
Authorized Official - Last Name:FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:919-685-7012
Mailing Address - Street 1:201 W MAIN ST
Mailing Address - Street 2:SUITE # B20
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-3228
Mailing Address - Country:US
Mailing Address - Phone:919-337-3865
Mailing Address - Fax:919-687-4936
Practice Address - Street 1:201 W MAIN ST
Practice Address - Street 2:SUITE # B20
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-3228
Practice Address - Country:US
Practice Address - Phone:919-685-7012
Practice Address - Fax:919-687-4936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 251S00000X
NCMHL# 032-287322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6603453Medicaid