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NPI 1417521048

NPI 1417521048 : ROCKWELL DEVELOPMENT CENTER, INC : ASHEVILLE, NC

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General NPI Number Information
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    NPI Number           |    1417521048
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROCKWELL DEVELOPMENT CENTER, INC 
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Dates
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    Enumeration Date     |    05/18/2021
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    Last Update Date     |    07/16/2025
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Provider Practice Location Address
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    Address Line         |    587 HAYWOOD RD 
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    City                 |    ASHEVILLE
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    State                |    NC
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    Zip                  |    28806-3553
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    Country              |    US
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    Telephone            |    704-987-2096
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    Fax                  |    
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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            |    980-313-1315
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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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