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RED OAK ADOLESCENT RECOVERY LLC NPI 1356813802


NPI Information

NPI: 1356813802
Provider Name: RED OAK ADOLESCENT RECOVERY LLC

Doing Business As: THE FOOTHILLS AT RED OAK RECOVERY

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
517 CUB CREEK RD
ELLENBORO, NC
ZIP 28040
Phone: (828) 318-0148
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RED OAK ADOLESCENT RECOVERY LLC is a substance abuse rehabilitation facility in Ellenboro, NC. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. RED OAK ADOLESCENT RECOVERY LLC NPI is 1356813802. The provider is registered as an organization entity type.
The provider Is Doing Business As The Foothills At Red Oak Recovery.

The provider's business location address is:

517 CUB CREEK RD
ELLENBORO, NC
ZIP 28040-733
Phone: (828) 318-0148

The provider's authorized official is Mark Edwards .
The authorized official title is Cfo and has the following contact phone number (205) 244-8112.

The enumeration date for this NPI number is 12/21/2018 and was last updated on 7/19/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2324500000XSubstance Abuse Rehabilitation FacilityYes

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: 5/5/2024

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