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1528594041 NPI number — ROCKY MOUNT TREATMENT CENTER LLC

NPI Number: 1528594041
Health Care Provider/Practitioner: ROCKY MOUNT TREATMENT CENTER LLC

Information about “1528594041” NPI (ROCKY MOUNT TREATMENT CENTER LLC) exists in 1528594041 in HTML format HTML  |  1528594041 in plain Text format TXT  |  1528594041 in PDF (Portable Document Format) PDF  |  1528594041 in an XML format XML  formats.

NPI Number : 1528594041 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528594041",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ROCKY MOUNT TREATMENT CENTER LLC",
    "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": "1112 SILVER OAKS CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RALEIGH",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27614-9359",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "252-972-4357",
    "MailingAddressFaxNumber": "252-972-1911",
    "FirstLinePracticeLocationAddress": "104 ZEBULON CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROCKY MOUNT",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27804-2420",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "252-972-4357",
    "PracticeLocationAddressFaxNumber": "252-972-1911",
    "EnumerationDate": "05/03/2017",
    "LastUpdateDate": "10/30/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HAMM",
    "AuthorizedOfficialFirstName": "MACY",
    "AuthorizedOfficialMiddleName": "MELISSA",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "J.D.",
    "AuthorizedOfficialTelephoneNumber": "919-656-1633",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM2800X",
          "TaxonomyName": "Methadone Clinic",
          "LicenseNumber": "MHL-064-089",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QR0405X",
          "TaxonomyName": "Substance Use Disorder Rehabilitation Clinic/Center",
          "LicenseNumber": "MHL-064-089",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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