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1174759047 NPI number — COMMUNITY EDUCATION CENTERS

NPI Number: 1174759047
Health Care Provider/Practitioner: COMMUNITY EDUCATION CENTERS

Information about “1174759047” NPI (COMMUNITY EDUCATION CENTERS) exists in 1174759047 in HTML format HTML  |  1174759047 in plain Text format TXT  |  1174759047 in PDF (Portable Document Format) PDF  |  1174759047 in an XML format XML  formats.

NPI Number : 1174759047 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174759047",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "COMMUNITY EDUCATION CENTERS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "840 SOMMERVILLE CRES",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHESAPEAKE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23320-4841",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "801 SANDERSON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHESAPEAKE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23322-2075",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "757-421-0095",
    "PracticeLocationAddressFaxNumber": "757-421-7124",
    "EnumerationDate": "06/05/2009",
    "LastUpdateDate": "06/05/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WILLIS",
    "AuthorizedOfficialFirstName": "JAMES",
    "AuthorizedOfficialMiddleName": "CALVIN",
    "AuthorizedOfficialTitle": "PROGRAM DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": "SR.",
    "AuthorizedOfficialCredential": "M.S., LPC",
    "AuthorizedOfficialTelephoneNumber": "757-739-1703",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "324500000X",
          "TaxonomyName": "Substance Abuse Rehabilitation Facility",
          "LicenseNumber": "0701003547",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "324500000X",
          "TaxonomyName": "Substance Abuse Rehabilitation Facility",
          "LicenseNumber": "3810",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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