ROCKY MOUNT TREATMENT CENTER LLC NPI 1528594041

NPI Information

NPI: 1528594041
Provider Name: ROCKY MOUNT TREATMENT CENTER LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 34D2089895

Address:
104 ZEBULON CT
ROCKY MOUNT, NC
ZIP 27804
Phone: (252) 972-4357
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ROCKY MOUNT TREATMENT CENTER LLC is a rehabilitation and substance use disorder clinic center in Rocky Mount, NC. ROCKY MOUNT TREATMENT CENTER LLC NPI is 1528594041. The provider is registered as an organization entity type.

The provider's business location address is:

104 ZEBULON CT
ROCKY MOUNT, NC
ZIP 27804-420
Phone: (252) 972-4357
Fax: (252) 972-1911

The provider's authorized official is Macy Melissa Hamm .
The authorized official title is Ceo and has the following contact phone number (919) 656-1633.

The CLIA number assigned to this NPI record is 34D2089895 - other - outpatient opium center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2017 and was last updated on 10/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health				No
2	261QM2800X	Clinic/Center	Methadone	MHL-064-089	NORTH CAROLINA	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	MHL-064-089	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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