Recovery Center of the Triad, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RECOVERY CENTER OF THE TRIAD, LLC

Practice address

3622 Lyckan Pkwy
Ste 6005
Durham, NC 27707-2564

Phone

(336) 293-7101

NPI assigned

Mar 15, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Caren Stewart

Title

Manager/Manager Partner

Phone

(336) 293-7101

Specialties & licenses 1

Addresses

Tax ID family

Recovery Center of the Triad LLC2 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.

• Recovery Center of the Triad, LLC

  • Community/Behavioral Health Agency
  • Gastonia, NC
  • NPI 1841598976
  NPD tax ID

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1376842401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY",
            "address_2": "STE 6005",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072564",
            "telephone_number": "336-293-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY",
            "address_2": "STE 6005",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072564",
            "telephone_number": "336-293-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY CENTER OF THE TRIAD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CAREN",
        "authorized_official_title_or_position": "MANAGER/MANAGER PARTNER",
        "authorized_official_telephone_number": "336-293-7101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Christine Rebeck, LCSW-A
• Jocelyn Li Reckford
• Tonja Weisner Recktenwald, M.ED., CCC-SLP
• Reclaim Physical Therapy & Wellness
• Recovery Center of Durham, Inc.
• Recovery Connections of Durham Inc
• Recovery Connections of Durham Inc
• Recovery Healthcare Agency
• Recovery Healthcare Agency
• Recovery Innovations, Inc (Ri International)

• Community/Behavioral Health Agency in Durham, NC
• Providers in Durham, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.