The Willows at Red Oak Recovery

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

THE WILLOWS AT RED OAK RECOVERY

Practice address

62 Racking Horse LN
Fletcher, NC 28732-9415

Phone

(828) 318-0148

NPI assigned

Jun 20, 2016

Organization subpart

No

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

Authorized official

Name

Mark Edwards

Title

Cfo

Phone

(205) 244-8112

Specialties & licenses 2

Addresses

Tax ID family

The Willows at Red Oak Recovery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Willows at Red Oak Recovery

  dba The Willows Lodge

  • Substance Abuse Rehabilitation Facility
  • Fletcher, NC
  • NPI 1770202442
  NPD tax ID

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1053761015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 WILLOW CREEK RD",
            "city": "LEICESTER",
            "state": "NC",
            "postal_code": "287485646",
            "telephone_number": "828-318-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 RACKING HORSE LN",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287329415",
            "telephone_number": "828-318-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WILLOWS AT RED OAK RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-244-8112"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Michael Lim Tamaray, P.T.
• Gabrielle Taylor, CNA
• Joan M Taylor, MD
• The Andersen Clinic PC
• The Wellside, PLLC
• The Willows at Red Oak Recovery (The Willows Lodge)
• William Thiemkey, D.O.
• Denise M Trayford, DC
• Triangle Cardiology & Internal Medicine
• Trinity of Fairview Baptist Church

• Substance Abuse Rehabilitation Facility in Fletcher, NC
• Providers in Fletcher, NC by specialty
• Substance Abuse Rehabilitation Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.