Provider Demographics
NPI:1558509836
Name:RAINBOW TREE, INC.
Entity Type:Organization
Organization Name:RAINBOW TREE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DONETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:704-281-4516
Mailing Address - Street 1:PO BOX 336
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28134-0336
Mailing Address - Country:US
Mailing Address - Phone:704-281-4516
Mailing Address - Fax:704-759-3712
Practice Address - Street 1:10405 CAMELBACK CIRCLE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-4518
Practice Address - Country:US
Practice Address - Phone:704-281-4516
Practice Address - Fax:704-759-3712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services