NPIMap

Organization Active NPI

Greenville Recovery Center

  • Community/Behavioral Health Agency
  • Greenville, NC
National Provider Identifier
1902056039
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-074-167 Issued in NC
Legal business name
GREENVILLE RECOVERY CENTER
Practice address
150 E Arlington Blvd
Greenville, NC 27858-5019
Phone
(252) 353-2555
Fax
(252) 353-2550
NPI assigned
Sep 25, 2008
Last updated
Sep 25, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SELLATI & CO., INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Carol McClelland, MA, LPC, LCAS, CCS
Title
Assistant Program Director
Phone
(252) 353-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-074-167 NC Primary

Addresses

Primary practice location

150 E Arlington Blvd
Greenville, NC 27858-5019

Mailing address

150 E Arlington Blvd
Greenville, NC 27858-5019
Phone (252) 353-2555

Other names 1

  • GRC Other name

National Provider Directory

National Provider Directory
Tax ID family
Sellati Co Inc10 organizations share this tax ID, including this one
Part of
Sellati Co Inc

Other organizations with this tax ID 9

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

Locations

150 E Arlington Blvd
Greenville, NC 27858
Phone (252) 353-2555

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1902056039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E ARLINGTON BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585019",
            "telephone_number": "252-353-2555",
            "fax_number": "252-353-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E ARLINGTON BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585019",
            "telephone_number": "252-353-2555",
            "fax_number": "252-353-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE RECOVERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SELLATI & CO., INC",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAND",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ASSISTANT PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "252-353-2555",
        "authorized_official_credential": "MA, LPC, LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-074-167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 25, 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.