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WALTER B JONES CENTER LAKESIDE PSYCHIATRIC HOSPITAL NPI 1114466893


NPI Information

NPI: 1114466893
Provider Name: WALTER B JONES CENTER LAKESIDE PSYCHIATRIC HOSPITAL

Former Legal Business Name: WALTER B JONES ALCOHOL AND DRUG ABUSE TREATMENT CENTER

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
2577 W 5TH ST
GREENVILLE, NC
ZIP 27834
Phone: (252) 707-5091
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WALTER B JONES CENTER LAKESIDE PSYCHIATRIC HOSPITAL is a psychiatric hospital in Greenville, NC. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. WALTER B JONES CENTER LAKESIDE PSYCHIATRIC HOSPITAL NPI is 1114466893. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Walter B Jones Alcohol And Drug Abuse Treatment Center.

The provider's business location address is:

2577 W 5TH ST
GREENVILLE, NC
ZIP 27834
Phone: (252) 707-5091
Fax: (252) 830-8585

The provider's authorized official is Karen Burkes .
The authorized official title is Deputy Secretary Fbbhdd Services and has the following contact phone number (919) 855-4700.

The enumeration date for this NPI number is 2/15/2017 and was last updated on 3/7/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1283Q00000XPsychiatric HospitalNORTH CAROLINAYes
2324500000XSubstance Abuse Rehabilitation FacilityNORTH CAROLINANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.