NPIMap

Organization Active NPI

Cascade Behavioral Treatment Services, Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Greenville, NC
National Provider Identifier
1699804302
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL074133 Issued in NC
Legal business name
CASCADE BEHAVIORAL TREATMENT SERVICES, INC
Practice address
325 Oak Grove Ave
Greenville, NC 27834-1124
Phone
(252) 754-2000
Fax
(252) 754-2001
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Wanda Teresa Williams, MS, LCAS
Title
Director
Phone
(252) 758-2065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL074133 NC Primary

Addresses

Primary practice location

325 Oak Grove Ave
Greenville, NC 27834-1124

Mailing address

325 Oak Grove Ave
Greenville, NC 27834-1124
Phone (252) 754-2000

Other identifiers 1

IdentifierTypeStateIssuer
6604056MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Cascade Behavioral Treatment Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699804302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 OAK GROVE AVE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278341124",
            "telephone_number": "252-754-2000",
            "fax_number": "252-754-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 OAK GROVE AVE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278341124",
            "telephone_number": "252-754-2000",
            "fax_number": "252-754-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE BEHAVIORAL TREATMENT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-758-2065",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LCAS"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL074133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604056",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • 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.