Organization · NPI-2

Campbell Second Chance Recovery Center

Counselor, Mental Health · Rocky Mount, NC

NPI number1295377653

StatusActive

Last updated in NPPESOct 16, 2019

Details

NPI: 1295377653
Entity type: Organization (NPI-2)
Legal business name: Campbell Second Chance Recovery Center
Organization subpart: No
Enumeration date: Oct 16, 2019
Last updated: Oct 16, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YM0800X	Counselor, Mental Health	–	–	Yes
174200000X	Meals	–	–
177F00000X	Lodging	–	–
251B00000X	Case Management	–	–
251J00000X	Nursing Care	–	–
251K00000X	Public Health or Welfare	–	–
251V00000X	Voluntary or Charitable	–	–
261QM0850X	Clinic/Center, Adult Mental Health	–	–
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–
322D00000X	Residential Treatment Facility, Emotionally Disturbed Children	–	–
344600000X	Taxi	–	–
344800000X	Air Carrier	–	–
347B00000X	Bus	–	–
347C00000X	Private Vehicle	–	–
347D00000X	Train	–	–

Practice location

601 Tarboro St
Rocky Mount, NC 27801-5955

Phone 910-556-6130

Mailing address

115 Appomattox Dr
Cameron, NC 28326-5536

Phone 910-556-6130

Authorized official

Cynthia Ann Campbell
Executive Director
9105566130

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.