Canyon Hills Treatment Facility, LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

CANYON HILLS TREATMENT FACILITY, LLC

Practice address

769 Aberdeen Rd
Raeford, NC 28376-0029

Phone

(910) 644-8441

NPI assigned

Oct 23, 2015

Last updated

Oct 23, 2015By 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

Micheaux Hollingsworth

Title

Owner

Phone

(505) 652-0669

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dionne D Harrison, MD

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1578755922
  NPD (past)

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1184096661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 ABERDEEN RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283760029",
            "telephone_number": "910-644-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 ABERDEEN RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283760029",
            "telephone_number": "910-644-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON HILLS TREATMENT FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH",
        "authorized_official_first_name": "MICHEAUX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-652-0669"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric Residential Treatment Facility in Raeford, NC
• Providers in Raeford, NC by specialty
• Psychiatric Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.