Dogwood Center Minsitry of Restoration

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL007037 Issued in NC

Legal business name

DOGWOOD CENTER MINSITRY OF RESTORATION

Practice address

148 Avon Ave
Washington, NC 27889-3841

Phone

(252) 946-6390

Fax

(252) 946-0761

NPI assigned

Aug 7, 2009

Last updated

Aug 7, 2009By 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. Darwin Earl Woolard

Title

Head of School

Phone

(252) 946-6390

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1689805665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 AVON AVE",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893841",
            "telephone_number": "252-946-6390",
            "fax_number": "252-946-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 AVON AVE",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893841",
            "telephone_number": "252-946-6390",
            "fax_number": "252-946-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOGWOOD CENTER MINSITRY OF RESTORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "WOOLARD",
        "authorized_official_first_name": "DARWIN",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "HEAD OF SCHOOL",
        "authorized_official_telephone_number": "252-946-6390",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL007037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Washington, NC
• Providers in Washington, 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 Aug 7, 2009; 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.