CAMPBELL SECOND CHANCE RECOVERY CENTER


Address: 601 Tarboro St, Rocky Mount, NC 27801-5955
Phone: 9105566130

CAMPBELL SECOND CHANCE RECOVERY CENTER (NPI# 1295377653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295377653
Entity Type Organization
Organization Name CAMPBELL SECOND CHANCE RECOVERY CENTER
Practice Address 601 Tarboro St
Rocky Mount
NC 27801-5955
Mailing Address 115 Appomattox Dr
Cameron
NC 28326-5536
Practice Telephone 9105566130
Mailing Telephone 9105566130
Enumeration Date 2019-10-16
Last Update Date 2019-10-16
Authorized Official Name MRS. CYNTHIA ANN CAMPBELL (EXECUTIVE DIRECTOR)
Authorized Official Telephone 9105566130
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174200000X Meals Other Service Providers
N 177F00000X Lodging Other Service Providers
N 251B00000X Case Management Agencies
N 251J00000X Nursing Care Agencies
N 251K00000X Public Health or Welfare Agencies
N 251V00000X Voluntary or Charitable Agencies
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
N 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities
N 344600000X Taxi Transportation Services
N 344800000X Air Carrier Transportation Services
N 347B00000X Bus Transportation Services
N 347C00000X Private Vehicle Transportation Services
N 347D00000X Train Transportation Services
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 601 TARBORO ST
City ROCKY MOUNT
State NC
Zip Code 27801-5955

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417599861 Cynthia Ann Campbell Counselor 601 Tarboro St, Rocky Mount, NC 27801-5955 2019-10-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669070215 My Guardian Angel Family Care Home Custodial Care Facility 514 Cokey Road, Rocky Mount, NC 27801 2020-10-15
1487268660 Tiambra Armeire Battle Occupational Therapist 1900 Windsor Drive, Rocky Mount, NC 27801 2020-09-03
1639661796 Opportunities Industrialization Center, Inc Clinic/Center 260 Albemarle Avenue, Rocky Mount, NC 27801 2018-06-05
1891290466 Your Best Life Awaits Counseling & Coaching Institute, Pllc Clinic/Center 107 Se Main St Suite 203, Rocky Mount, NC 27801 2018-03-27
1922352434 Southern Mattress Co. Inc. Durable Medical Equipment & Medical Supplies 1812 Cokey Road, Rocky Mount, NC 27801 2012-11-06
1275805046 Kota Transport Service LLC Non-emergency Medical Transport (VAN) 1125 South Cambridge Circle, Rocky Mount, NC 27801 2012-02-08
1750543781 Jones and Jones Enterprises LLC Community/Behavioral Health 907 East Holly Street, Rocky Mount, NC 27801 2008-07-01
1235316035 Claire Smith Pharmacist 130 Sw Main Street, Almand's Drug Store, Rocky Mount, NC 27801 2008-01-24
1104007723 House of Hope Clinic/Center 2416 Sheve Rd., Rocky Mount, NC 27801 2007-11-26
1376724039 Brenda W Bryan Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2001 Vernon Rd, Rocky Mount, NC 27801 2007-11-21
Find all providers in zip 27801

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972093987 Youth Connect of Virginia, Inc. Counselor 370 Tanyard Rd, Rocky Mount, VA 24151 2018-05-15
1235502675 Deanna Dick Counselor 110 Franklin St Ste A, Rocky Mount, VA 24151-1352 2015-11-06
1114324084 George Shell Counselor 2433 Shreve Rd, Rocky Mount, NC 27801-5110 2014-11-20
1891048492 Premier Healthcare Solutions Counselor 1120 Nashville Rd, Rocky Mount, NC 27803-2433 2012-10-19
1760756084 Elizabeth Ashley Callahan Counselor 235 Claiborne Ave, Suite 200, Rocky Mount, VA 24151-1438 2012-03-05
1780954891 Erica Byrd Wright Counselor 1233 Fairway Ter, Rocky Mount, NC 27804-9619 2012-01-05
1770867152 Starting Pointe, Inc. Counselor 301 South Church Street, Suite 270, Rocky Mount, NC 27804-5749 2011-10-04
1174844120 Barbara Judy Davis Counselor 3620 Woodlawn Rd, Rocky Mount, NC 27804-3348 2010-06-14
1467779603 Straight Walk Family Services,inc Counselor 3208 Sunset Ave Ste B, Rocky Mount, NC 27804-3590 2010-04-28
1295908556 Evora Carlton Counselor 1817 Lynne Ave, Rocky Mount, NC 27801-6327 2008-04-08
Find all providers in ROCKY MOUNT

Competitor

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City ROCKY MOUNT
Zip Code 27801

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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