JACKSONVILLE TREATMENT CENTER NPI 1750821229

NPI Information

NPI: 1750821229
Provider Name: JACKSONVILLE TREATMENT CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1112 SILVER OAKS CT
RALEIGH, NC
ZIP 27614
Phone: (919) 656-1633
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JACKSONVILLE TREATMENT CENTER is a rehabilitation and substance use disorder clinic center in Raleigh, NC. JACKSONVILLE TREATMENT CENTER NPI is 1750821229. The provider is registered as an organization entity type.

The provider's business location address is:

1112 SILVER OAKS CT
RALEIGH, NC
ZIP 27614-359
Phone: (919) 656-1633
Fax: (919) 706-5158

The provider's authorized official is Macy Melissa Hamm .
The authorized official title is Sponsor and has the following contact phone number (919) 656-1633.

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

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
1	261QM2800X	Clinic/Center	Methadone	MHL-067-166	NORTH CAROLINA	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	MHL-067-166	NORTH CAROLINA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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