THE WALTER B. JONES CENTER WOODSIDE TREATMENT CENTER (NPI# 1417496241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417496241 |
| Entity Type | Organization |
| Organization Name | THE WALTER B. JONES CENTER WOODSIDE TREATMENT CENTER |
| Other Organization Name | WALTER B JONES ALCOHOL AND DRUG ABUSE TREATMENT CENTER |
| Practice Address |
2577 W 5th St Greenville NC 27834 |
| Mailing Address |
2577 W 5th St Greenville NC 27834-7813 |
| Practice Telephone | 2527075091 |
| Practice Fax Number | 2528308585 |
| Mailing Telephone | 2527075091 |
| Mailing Fax Number | 2528308585 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2019-05-07 |
| Authorized Official Name | MS. HELEN WOLSTENHOLME (DIVISION DIRECTOR) |
| Authorized Official Telephone | 9198554700 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 283Q00000X | Psychiatric Hospital | Hospitals | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | NC | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Walter B Jones Alcohol and Drug Abuse Treatment Center | Former Legal Business Name - Organization |
| Street Address |
2577 W 5TH ST |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861464083 | Tania Obremski | Nurse Practitioner | 2577 W 5th St, Greenville, NC 27834-7813 | 2006-02-02 |
| 1366072027 | Allyson Kate Aycock | Social Worker | 2577 W 5th St, Greenville, NC 27834-7813 | 2020-01-22 |
| 1609406826 | Rebekah Gwaltney Guyton | Counselor | 2577 W 5th St, Greenville, NC 27834-7813 | 2020-01-16 |
| 1811537202 | Leah Riddell | Counselor | 2577 W 5th St, Greenville, NC 27834-7813 | 2020-01-14 |
| 1861039190 | Walter B. Jones Woodside Treatment Center Otp | Community/Behavioral Health | 2577 W 5th St, Greenville, NC 27834-7813 | 2019-12-05 |
| 1063069706 | Michael P Howard | Counselor | 2577 W 5th St, Greenville, NC 27834-7813 | 2019-08-19 |
| 1922654979 | Hillary Elysse Melton | Counselor | 2577 W 5th St, Greenville, NC 27834-7813 | 2019-08-15 |
| 1316590235 | Charles Ray Faulkner | Registered Nurse | 2577 W 5th St, Greenville, NC 27834-7813 | 2019-07-19 |
| 1598318669 | Pamela Rogers Esposito | Social Worker | 2577 W 5th St, Greenville, NC 27834-7813 | 2019-07-18 |
| 1356994370 | Michael Gordon Tart | Social Worker | 2577 W 5th St, Greenville, NC 27834-7813 | 2019-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | 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. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578105979 | Solutions Recovery Counseling, Inc | Substance Abuse Rehabilitation Facility | 207 W Antrim Dr, Greenville, SC 29607-2329 | 2019-10-17 |
| 1235670696 | Randy's House | Substance Abuse Rehabilitation Facility | 203 E Washington St, Greenville, MI 48838-1944 | 2017-03-17 |
| 1114466893 | Walter B Jones Center Lakeside Psychiatric Hospital | Substance Abuse Rehabilitation Facility | 2577 W 5th St, Greenville, NC 27834 | 2017-02-15 |
| 1407218084 | Lighthouse Treatment Center | Substance Abuse Rehabilitation Facility | 3919 S Highway 14, Bldg A, Greenville, SC 29615-6138 | 2016-03-23 |
| 1861892259 | Phoenix Center | Substance Abuse Rehabilitation Facility | 1400 Cleveland St, Greenville, SC 29607-2410 | 2014-09-04 |
| 1326327461 | Prime Agency LLC | Substance Abuse Rehabilitation Facility | 111 E 3rd St, Greenville, NC 27858-1803 | 2011-08-07 |
| 1932258795 | Port Health Services | Substance Abuse Rehabilitation Facility | 203 Government Cir, Greenville, NC 27834-8198 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395457 | Changing Paths of Nc 2 LLC | Substance Abuse Rehabilitation Facility | 150 Cedar Ln, Rose Hill, NC 28458 | 2020-08-06 |
| 1982212874 | Hall Empowerment Network | Substance Abuse Rehabilitation Facility | 4450 Kinkead Ct Apt 33, Fayetteville, NC 28314-2420 | 2020-07-16 |
| 1710504642 | The Awakening Wellness Clinic, Inc | Substance Abuse Rehabilitation Facility | 8 Carver Rd, Jacksonville, NC 28540-7010 | 2020-06-26 |
| 1609408269 | Pear Tree Peace Community Economic Development Corporation | Substance Abuse Rehabilitation Facility | 612 Pine Tops Rd, Murfreesboro, NC 27855-9595 | 2020-02-11 |
| 1396383352 | Deerhaven Gardens, LLC. | Substance Abuse Rehabilitation Facility | 66 N Deerhaven Ln, Asheville, NC 28803-0120 | 2019-12-20 |
| 1255973210 | Blissfully Supported LLC | Substance Abuse Rehabilitation Facility | 645 Dunbrook Ln, Charlotte, NC 28217-3405 | 2019-10-11 |
| 1235785726 | Eighth Month Ventures, LLC | Substance Abuse Rehabilitation Facility | 405 Franklin Blvd, Greensboro, NC 27401-4610 | 2019-08-12 |
| 1538720396 | Adaptive Interventions Group, LLC | Substance Abuse Rehabilitation Facility | 107 Robinson Dr, Cherryville, NC 28021-8100 | 2019-06-24 |
| 1356813802 | Red Oak Adolescent Recovery LLC | Substance Abuse Rehabilitation Facility | 517 Cub Creek Rd, Ellenboro, NC 28040-8733 | 2018-12-21 |
| 1619475308 | Titan Holding Group, LLC | Substance Abuse Rehabilitation Facility | 4944 Parkway Plaza Ste 200, Charlotte, NC 28217-0000 | 2018-01-27 |
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| City | GREENVILLE |
| Zip Code | 27834 |
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| 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.