| Innerchange Lake House, Llc | |
|
447 Lily Pad Ln Flat Rock NC 28731-9503 | |
| (435) 229-5498 | |
| Not Available |
| Full Name | Innerchange Lake House, Llc |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 447 Lily Pad Ln, Flat Rock, North Carolina |
| Authorized Official Name and Position | Laura J Brown (VP OF REVENUE CYCLE MANAGEMENT) |
| Authorized Official Contact | 6618294060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innerchange Lake House, Llc 5500 Ming Ave Ste 410 Bakersfield CA 93309-4631 Ph: (661) 622-4132 | Innerchange Lake House, Llc 447 Lily Pad Ln Flat Rock NC 28731-9503 Ph: (435) 229-5498 |
| NPI Number | 1215524756 |
|---|---|
| Provider Enumeration Date | 12/30/2020 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215524756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | (* (Not Available)) | Primary |
Point The Way Health Consultants, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 Upward Rd Ste 1, Flat Rock, NC 28731 Phone: 828-696-3531 Fax: 828-696-0952 |