Organization Active NPI

Raleigh Ridge Eating Disorder Treatment Center LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Durham, NC
National Provider Identifier
1992659957
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
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

Updated by the provider on Feb 25, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.