Cisselsalternative

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

MNL047109 Issued in NC

Legal business name

CISSELSALTERNATIVE

Practice address

126 Davenport Dr
Raeford, NC 28376-5425

Phone

(910) 848-0216

Fax

(910) 848-0216

NPI assigned

Apr 3, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Marion Wilson Cissel, 12/07/46

Title

Owner

Phone

(910) 848-0216

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1508039140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 DAVENPORT DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283765425",
            "telephone_number": "910-848-0216",
            "fax_number": "910-848-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 DAVENPORT DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283765425",
            "telephone_number": "910-848-0216",
            "fax_number": "910-848-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CISSELSALTERNATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "CISSEL",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-848-0216",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "12/07/46"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "MNL047109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Raeford, NC
• Providers in Raeford, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.