Provider Demographics
NPI:1447420872
Name:RECLAMATION FAMILY SERVICES, INC
Entity type:Organization
Organization Name:RECLAMATION FAMILY SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:W
Authorized Official - Last Name:PEELE
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:252-209-1773
Mailing Address - Street 1:PO BOX 446
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:NC
Mailing Address - Zip Code:27983-0446
Mailing Address - Country:US
Mailing Address - Phone:252-794-3556
Mailing Address - Fax:252-794-4616
Practice Address - Street 1:306 HOSPITAL DRIVE
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:NC
Practice Address - Zip Code:27983-0446
Practice Address - Country:US
Practice Address - Phone:252-794-3556
Practice Address - Fax:252-794-4616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-008-039251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health