Organization Active NPI

The Refuge: Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Wadesboro, NC
National Provider Identifier
1114024262
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE REFUGE: MENTAL HEALTH CENTER, INC.
Practice address
303 E View St
Wadesboro, NC 28170-2807
Phone
(704) 288-3543
NPI assigned
Sep 20, 2006
Last updated
Jul 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Authorized official

Name
Mr. Wendell D'Alton Wells IV
Title
Ceo
Phone
(704) 288-3543

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Community Health Clinic/Center 261QC1500X MHL-077-042 NC
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

303 E View St
Wadesboro, NC 28170-2807

Mailing address

PO Box 61237
Raleigh, NC 27661-1237
Phone (910) 895-2400

Other identifiers 4

IdentifierTypeStateIssuer
8300931MedicaidNC
8300932MedicaidNC
3418135MedicaidNC
6603179MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1114024262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61237",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276611237",
            "telephone_number": "910-895-2400",
            "fax_number": "910-895-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E VIEW ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702807",
            "telephone_number": "704-288-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REFUGE: MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_middle_name": "D'ALTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-288-3543",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NC",
            "license": "MHL-077-042",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300931",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300932",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418135",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603179",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.