Decapolis House of Intervention

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DECAPOLIS HOUSE OF INTERVENTION

Practice address

307 S Pearl St
Williamston, NC 27892-2329

Phone

(252) 809-0003

Fax

(252) 809-0033

NPI assigned

Mar 23, 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

Mr. Claudie Wilkins

Title

Ceo

Phone

(252) 809-0003

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225155674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S PEARL ST",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922329",
            "telephone_number": "252-809-0003",
            "fax_number": "252-809-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S PEARL ST",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922329",
            "telephone_number": "252-809-0003",
            "fax_number": "252-809-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECAPOLIS HOUSE OF INTERVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "CLAUDIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-809-0003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.