The Rock Recovery & Wellness Center, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

450023AP Issued in CA

Legal business name

THE ROCK RECOVERY & WELLNESS CENTER, INC.

Practice address

755 Lake Blvd
Redding, CA 96003-2235

Phone

(530) 229-1704

Fax

(530) 229-1890

NPI assigned

Jun 7, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Anthony Wade Ballard, R.A.S.NPI 1144581950

Title

Executive Director

Phone

(530) 229-1704

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Wade Ballard, R.A.S.

  • Addiction (Substance Use Disorder) Counselor
  • Yreka, CA
  • NPI 1144581950
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1003177825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 LAKE BLVD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960032235",
            "telephone_number": "530-229-1704",
            "fax_number": "530-229-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 LAKE BLVD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960032235",
            "telephone_number": "530-229-1704",
            "fax_number": "530-229-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROCK RECOVERY & WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-229-1704",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.A.S."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "450023AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Redding, CA
• Providers in Redding, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.