Provider Demographics
NPI:1518012798
Name:TRANQUILITY HOUSE
Entity Type:Organization
Organization Name:TRANQUILITY HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERYL
Authorized Official - Middle Name:HETGRA
Authorized Official - Last Name:HARRIS-CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-477-7093
Mailing Address - Street 1:PO BOX 52688
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27717-2688
Mailing Address - Country:US
Mailing Address - Phone:919-477-7093
Mailing Address - Fax:919-477-7130
Practice Address - Street 1:1115 HORTON RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-1519
Practice Address - Country:US
Practice Address - Phone:919-477-7093
Practice Address - Fax:919-477-7130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children