Visionquest Nonprofit Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL 032-513 Issued in NC

Legal business name

VISIONQUEST NONPROFIT CORP

Doing business as

VisionQuest LodgeMakers

Practice address

3101 Guess Rd Ste D
Durham, NC 27705-2678

Phone

(919) 794-3814

Fax

(919) 530-1895

NPI assigned

Oct 14, 2009

Last updated

May 20, 2014By 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

Dr. Beth Ann Rosica, PHD

Title

Vice President

Phone

(610) 486-2280

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VisionQuest LodgeMakers Doing business as

Locations

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1972838662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E PENNSYLVANIA AVE",
            "address_2": "SUITE 430",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352632",
            "telephone_number": "610-486-2280",
            "fax_number": "610-269-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 GUESS RD STE D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052678",
            "telephone_number": "919-794-3814",
            "fax_number": "919-530-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONQUEST NONPROFIT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "ROSICA",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "610-486-2280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL 032-513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302933",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VisionQuest LodgeMakers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.