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General NPI Number Information
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NPI Number | 1184580300
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Entity Type | Organization
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Legal Business Name | RESTORATIVE CARE SERVICES, LLC
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Dates
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Enumeration Date | 12/31/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 2969 NC 33 W
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City | GREENVILLE
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State | NC
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Zip | 27834-7342
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Country | US
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Telephone | 252-290-5588
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Fax |
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Provider Business Mailing Address
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Address Line | 865 KINGOLD BLVD APT U
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City | SNOW HILL
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State | NC
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Zip | 28580-1670
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ASHLEY JOHNSON
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Credential |
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Telephone | 252-290-5588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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