UNC ADDICTION DETOX UNIT (NPI# 1780060723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780060723 |
| Entity Type | Organization |
| Organization Name | UNC ADDICTION DETOX UNIT |
| Practice Address |
107 Sunnybrook Rd Raleigh NC 27610-1827 |
| Practice Telephone | 9849744861 |
| Mailing Telephone | 9849744861 |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |
| Authorized Official Name | MS. CHARISSE CARUTH (CLINICAL INSTRUCTOR) |
| Authorized Official Telephone | 9849744861 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
107 SUNNYBROOK RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854730 | Joseph Balla | Psychiatry & Neurology | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2005-07-11 |
| 1750908430 | William Harold Smith | Nurse Practitioner | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2020-06-29 |
| 1598391666 | Marissa Lauren Jones | Recreation Therapist | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2020-03-20 |
| 1790310274 | Adepeju Adeola Bolaji | Registered Nurse | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2020-03-05 |
| 1326680851 | Martha Hawkins | Counselor | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2019-10-16 |
| 1043852957 | Jonathan Conyers Levine | Social Worker | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2019-10-11 |
| 1477109940 | Lisa Beresnyak | Counselor | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2019-08-12 |
| 1720646227 | Nicole Ann Stoneback | Registered Nurse | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2019-05-31 |
| 1942706981 | Pamela Petack Dingman | Occupational Therapy Assistant | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2018-03-30 |
| 1093234460 | Crystal Elizabeth Russell | Counselor | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2017-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816006 | Totten Therapeutic Services, Pllc | Clinic/Center | 5874 Faringdon Pl, Raleigh, NC 27609-3932 | 2020-06-23 |
| 1235663790 | Green Hill Recovery, LLC | Clinic/Center | 723 W Johnson St, Suite 100, Raleigh, NC 27603-1241 | 2017-04-11 |
| 1891304226 | Holly Lo Ann Steckler | Clinic/Center | 7785 Saint Gertrude Ave, Raleigh, ND 58564-4103 | 2020-07-31 |
| 1184182891 | Morning View Counseling Pllc | Clinic/Center | 4070 Barrett Dr, Raleigh, NC 27609-6604 | 2019-03-12 |
| 1720515364 | Be Welling Therapy | Clinic/Center | 4070 Barrett Dr, Raleigh, NC 27609-6604 | 2017-05-14 |
| 1396101200 | Nabxs Inc. | Clinic/Center | 7200 Falls of Neuse Rd, Suite 300, Raleigh, NC 27615-5384 | 2016-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047369 | The Blanchard Institute | Clinic/Center | 19902 N Cove Rd, Cornelius, NC 28031-6571 | 2020-09-15 |
| 1710527767 | New Leaf Center, LLC | Clinic/Center | 4195 W Us Highway 64 Ste 2, Murphy, NC 28906-8112 | 2020-01-07 |
| 1194372029 | Northstar Clinical Services | Clinic/Center | 322 Lamar Ave Ste 220, Charlotte, NC 28204-2436 | 2019-08-26 |
| 1679041362 | Oasis Recovery Centers, Inc | Clinic/Center | 191 Charlotte St # 200, Asheville, NC 28801-1938 | 2018-11-11 |
| 1225503527 | Recovery Center of North Carolina, LLC | Clinic/Center | 1806 N Aspen St, Lincolnton, NC 28092-6303 | 2018-10-12 |
| 1538648944 | Morehead City Treatment Center, LLC | Clinic/Center | 403 N 35th St, Morehead City, NC 28557-3107 | 2018-08-08 |
| 1548757438 | Mountainview Recovery, Inc | Clinic/Center | 108 Monticello Rd Ste 400, Weaverville, NC 28787 | 2018-04-17 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1093226110 | Promises12 Ltd LLC | Clinic/Center | 35 Means Ave Se, Concord, NC 28025-3563 | 2017-10-16 |
| 1205365574 | Western Wake Treatment Center | Clinic/Center | 2172 N. Salem Street, Suite 105, Apex, NC 27523 | 2017-06-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.