Active NPI
The Refuge: Mental Health Center, Inc.
- Community/Behavioral Health Agency
- Wadesboro, NC
National Provider Identifier
1114024262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8300931 | Medicaid | NC | |
| 8300932 | Medicaid | NC | |
| 3418135 | Medicaid | NC | |
| 6603179 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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
- The Charlotte-Mecklenburg Hospital Authority (Atrium Health Transition Clinic)
- The Charlotte-Mecklenburg Hospital Authority (Atrium Health Anson)
- The Mental Health Association in North Carolina, Inc (Anson PSR)
- The Mental Health Association in North Carolina, Inc (Anson PSR)
- The Mental Health Association in North Carolina, Inc. (Pine Terrace Place)
- Therapeutic Alternatives Incorporated
- Thome & Casher DDS PLLC (Anson Family Dentistry Anson Pediatric Dentistry)
- Thriving Beyond Limits
- Lorraine Michelle Tillman, LCSWA
- Jonathan Toellner, PHARMD
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.