WALTER B JONES CENTER WOODSIDE TREATMENT CENTER – NPI #1417496241
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

WALTER B JONES CENTER WOODSIDE TREATMENT CENTER is a substance abuse rehabilitation facility located in GREENVILLE, NC. NPPES has assigned the NPI number 1417496241 to WALTER B JONES CENTER WOODSIDE TREATMENT CENTER on February 13, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is WALTER B JONES ALCOHOL AND DRUG ABUSE TREATMENT CENTER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on Oct 17, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WALTER B JONES CENTER WOODSIDE TREATMENT CENTER below.

NPI Profile for
WALTER B JONES CENTER WOODSIDE TREATMENT CENTER

NPI Number
1417496241
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WALTER B JONES CENTER WOODSIDE TREATMENT CENTER
Former Legal Business Name: WALTER B JONES ALCOHOL AND DRUG ABUSE TREATMENT CENTER
Primary location
2577 W 5TH ST
GREENVILLE, NC 27834
Phone: (252) 707-5091 Fax: (252) 830-8585
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KAREN BURKES
DIVISION DIRECTOR
Phone: (919) 855-4700
Updated
Certification Date
Oct 17, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)		 NC
283Q00000X
- Psychiatric Hospital

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.