Organization Active NPI

Removing Mountains

  • Mental Illness Community Based Residential Treatment Facility
  • Durham, NC
National Provider Identifier
1508049107
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL-032-421 Issued in NC
Legal business name
REMOVING MOUNTAINS
Practice address
1115 Chalk Level Road
Durham, NC 27704-1527
Phone
(919) 730-9917
Fax
(919) 251-8145
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Mrs. Michille Evette Stanford Pettiford
Title
Director
Phone
(919) 730-9917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-032-421 NC Primary

Addresses

Primary practice location

1115 Chalk Level Road
Durham, NC 27704-1527

Mailing address

1115 Chalk Level Rd
Durham, NC 27704-1527
Phone (919) 730-9917

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1508049107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 CHALK LEVEL RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041527",
            "telephone_number": "919-730-9917",
            "fax_number": "919-251-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 CHALK LEVEL ROAD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041527",
            "telephone_number": "919-730-9917",
            "fax_number": "919-251-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMOVING MOUNTAINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "PETTIFORD",
        "authorized_official_first_name": "MICHILLE",
        "authorized_official_middle_name": "EVETTE STANFORD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-730-9917",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-032-421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.