NPI Code Detail JSON Logo

1144830027 NPI number — RECOVERY JOURNEY SERVICES LLC

NPI Number: 1144830027
Health Care Provider/Practitioner: RECOVERY JOURNEY SERVICES LLC

Information about “1144830027” NPI (RECOVERY JOURNEY SERVICES LLC) exists in 1144830027 in HTML format HTML  |  1144830027 in plain Text format TXT  |  1144830027 in PDF (Portable Document Format) PDF  |  1144830027 in an XML format XML  formats.

NPI Number : 1144830027 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144830027",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RECOVERY JOURNEY SERVICES LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2054 FISHPOND RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GREENVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27834-8852",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "252-814-5095",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "201 E PITT ST STE 103",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TARBORO",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27886-5137",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "252-378-9940",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/05/2020",
    "LastUpdateDate": "09/06/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DORSEY",
    "AuthorizedOfficialFirstName": "TYEASIA",
    "AuthorizedOfficialMiddleName": "KIAH",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCAS CCS",
    "AuthorizedOfficialTelephoneNumber": "252-378-9940",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QR0405X",
          "TaxonomyName": "Substance Use Disorder Rehabilitation Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "324500000X",
          "TaxonomyName": "Substance Abuse Rehabilitation Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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