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General NPI Number Information
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NPI Number | 1386405223
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Entity Type | Organization
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Legal Business Name | ROCKWELL DEVELOPMENT CENTER, INC - NEWTON DAY TREATMERNT
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Dates
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Enumeration Date | 01/18/2024
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 301 W 18TH ST
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City | NEWTON
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State | NC
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Zip | 28658-2927
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Country | US
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Telephone | 704-987-2096
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Fax | 704-919-5590
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Provider Business Mailing Address
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Address Line | 15105D JOHN J DELANEY DR # 32
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City | CHARLOTTE
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State | NC
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Zip | 28277-2741
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Country | US
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Telephone | 704-987-2096
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Fax | 704-919-5590
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DESARETA JONES
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Credential |
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Telephone | 704-987-2096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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