Provider Demographics
NPI:1649410598
Name:THE RIGHT TRAX, INC.,
Entity Type:Organization
Organization Name:THE RIGHT TRAX, INC.,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:MHR
Authorized Official - Phone:919-696-0376
Mailing Address - Street 1:4725 SILVERDENE ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-3505
Mailing Address - Country:US
Mailing Address - Phone:919-877-8613
Mailing Address - Fax:919-877-8613
Practice Address - Street 1:4201 BATTLE FIELD DR
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-7125
Practice Address - Country:US
Practice Address - Phone:919-696-0376
Practice Address - Fax:919-329-7882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-04
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-092-693251S00000X, 320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No251S00000XAgenciesCommunity/Behavioral Health