Healthcare Provider Details

I. General information

NPI: 1952896813
Provider Name (Legal Business Name): SANFORD TREATMENT CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2018
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 INDUSTRIAL DR
SANFORD NC
27332
US

IV. Provider business mailing address

1112 SILVER OAKS CT
RALEIGH NC
27614-9359
US

V. Phone/Fax

Practice location:
  • Phone: 919-776-0711
  • Fax: 919-776-0702
Mailing address:
  • Phone: 919-656-1633
  • Fax: 919-706-5158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberMHL-053-044
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License NumberMHL-053-044
License Number StateNC

VIII. Authorized Official

Name: MACY MELISSA HAMM
Title or Position: CEO
Credential: JD, LCAS
Phone: 919-656-1633