McEachin Treatment Facility

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-047-080 Issued in NC

Legal business name

MCEACHIN TREATMENT FACILITY

Practice address

10218 Fayetteville Road
Raeford, NC 28376

Phone

(910) 848-0355

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Gale Valencia Ray

Title

Director

Phone

(910) 261-4553

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760516488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6183 TIMBERLAND DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142185",
            "telephone_number": "910-868-1639",
            "fax_number": "910-848-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10218 FAYETTEVILLE ROAD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "28376",
            "telephone_number": "910-848-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCEACHIN TREATMENT FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "GALE",
        "authorized_official_middle_name": "VALENCIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-261-4553",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-047-080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603846",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raquel Alexis McCann, PA-C
• Amanda McCollum
• Logan Shayne McCord, DMD
• Sherry Ann Glover McCoy, LCMHCA
• Shakara McDonald
• Taryn McGirt
• Chad C McGraw, PA-C
• Dewanna McIntyre
• Shonda McIver
• Priscilla Lynn McKinnon

• Emotionally Disturbed Childrens' Residential Treatment Facility in Raeford, NC
• Providers in Raeford, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• 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.