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Contact Information

JACKSONVILLE TREATMENT CENTER
291 HUFF DR
JACKSONVILLE, NC28546-7370
 Phone: 910-347-2205
 Fax: 910-347-2216
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Methadone

261QM2800X
Indicates primary specialty

NPI Profile & details for JACKSONVILLE TREATMENT CENTER

NPI Number 1750821229
LBN Legal business name JACKSONVILLE TREATMENT CENTER
Authorized official MACY HAMM - (SPONSOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/03/2017
Last updated 02/09/2026 - About 4 months ago
Identifiers
NC License # MHL-067-166
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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