Provider Demographics
NPI:1568915205
Name:TWELVE OAKS, LLC
Entity Type:Organization
Organization Name:TWELVE OAKS, LLC
Other - Org Name:SILVER RIDGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF NORTH CAROLINA OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSTED
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-639-9657
Mailing Address - Street 1:183 OLD TURNPIKE RD
Mailing Address - Street 2:
Mailing Address - City:MILLS RIVER
Mailing Address - State:NC
Mailing Address - Zip Code:28759-8776
Mailing Address - Country:US
Mailing Address - Phone:828-891-8227
Mailing Address - Fax:828-350-1300
Practice Address - Street 1:183 OLD TURNPIKE RD
Practice Address - Street 2:
Practice Address - City:MILLS RIVER
Practice Address - State:NC
Practice Address - Zip Code:28759-8776
Practice Address - Country:US
Practice Address - Phone:770-639-9657
Practice Address - Fax:828-350-1300
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PYRAMID HEALTHCARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-07-29
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility