Provider Demographics
NPI:1689856262
Name:HEALTHPLUS THERAPEUTIC SERVICES INC
Entity Type:Organization
Organization Name:HEALTHPLUS THERAPEUTIC SERVICES INC
Other - Org Name:HEALTHPLUS THERAPEUTIC SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-670-0033
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-0158
Mailing Address - Country:US
Mailing Address - Phone:252-948-0333
Mailing Address - Fax:252-948-0933
Practice Address - Street 1:108 WOLFPOINT DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-9370
Practice Address - Country:US
Practice Address - Phone:910-822-6400
Practice Address - Fax:910-822-1612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6603386Medicaid