Active NPI
Raleigh Ridge Eating Disorder Treatment Center LLC
- Mental Illness Community Based Residential Treatment Facility
- Durham, NC
National Provider Identifier
1992659957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- RALEIGH RIDGE EATING DISORDER TREATMENT CENTER LLC
- Practice address
- 176 Lassiter Homestead Rd
Durham, NC 27713-6835 - Phone
- (919) 822-2722
- NPI assigned
- Feb 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eli Fisch
- Title
- Principal
- Phone
- (919) 822-2722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
176 Lassiter Homestead Rd
Durham, NC 27713-6835
Mailing address
1965 Swarthmore Ave Ste 100
Lakewood, NJ 08701-4907
National Provider Directory
National Provider DirectoryLocations
1965 Swarthmore Ave
Ste 100
Lakewood, NJ 08701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771977600000",
"number": "1992659957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1965 SWARTHMORE AVE STE 100",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 LASSITER HOMESTEAD RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277136835",
"telephone_number": "919-822-2722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RALEIGH RIDGE EATING DISORDER TREATMENT CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-25",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A",
"authorized_official_last_name": "FISCH",
"authorized_official_first_name": "ELI",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "919-822-2722"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.