JK2C LLC NPI 1396280350

NPI Information

NPI: 1396280350
Provider Name: JK2C, LLC
Classification: Clinic/Center - 261QR0405X
Specialization: Rehabilitation, Substance Use Disorder
Entity Type: Organization
Doing Business As: ELIZABETH CITY TREATMENT CENTER
CLIA Number: 34D2166931
Address: 105 MEDICAL DR
ELIZABETH CITY, NC
ZIP 27909
Phone: (757) 848-3478

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NPI Details

JK2C, LLC is a rehabilitation and substance use disorder clinic center in Elizabeth City, NC. JK2C, LLC NPI is 1396280350. The provider is registered as an organization entity type.
The provider Is Doing Business As Elizabeth City Treatment Center.

The provider's business location address is:

105 MEDICAL DR
ELIZABETH CITY, NC
ZIP 27909-361
Phone: (757) 848-3478
Fax: (757) 394-3094

The provider's authorized official is Jay Higham .
The authorized official title is Ceo and has the following contact phone number (214) 365-6112.

The CLIA number assigned to this NPI record is 34D2166931 - other - medicated treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/30/2016 and was last updated on 12/26/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QM2800X	Clinic/Center	Methadone	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes
4	302R00000X	Health Maintenance Organization		No

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: 11/21/2025

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