Lewis Treatment Facility

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-082-050 Issued in NC

Legal business name

LEWIS TREATMENT FACILITY

Practice address

116 Marion-Amos Road
Roseboro, NC 28382

Phone

(910) 525-3144

NPI assigned

Mar 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Gale Valencia Ray

Title

Director

Phone

(910) 261-4553

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033243761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6183 TIMBERLAND DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142185",
            "telephone_number": "910-868-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MARION-AMOS ROAD",
            "city": "ROSEBORO",
            "state": "NC",
            "postal_code": "28382",
            "telephone_number": "910-525-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS TREATMENT FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "GALE",
        "authorized_official_middle_name": "VALENCIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-261-4553",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-082-050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Roseboro, NC
• Providers in Roseboro, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.