SECOND NATURE BLUE RIDGE CAROLINA
NPI 1124301676
Community Based Residential Treatment Facility, Mental Illness in Otto, NC

Active since September 21, 2011
16 SWISS VILLAGE ROAD, OTTO, NC 28763(706) 212-2037 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Second Nature Blue Ridge Carolina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SECOND NATURE BLUE RIDGE CAROLINA (NPI 1124301676) is a healthcare organization registered as a community based residential treatment facility, mental illness in Otto, North Carolina and active in the NPI registry since September 2011. The organization lists Dan Mcdougal, Program Director, as its authorized official.

NPPES Registry Identity

NPI1124301676
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameSECOND NATURE BLUE RIDGE CAROLINA
Location Address16 SWISS VILLAGE ROADOtto, NC 28763
Mailing AddressPo Box 809Clayton, GA 30525-0021
Organization SubpartNo
Authorized OfficialDan McdougalProgram Director · (706) 212-2037
Enumeration DateSeptember 21, 2011
NPI 1124301676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License Licensed in NC · MHL056024
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
16 SWISS VILLAGE ROAD, Otto, NC 28763

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Second Nature Blue Ridge Carolina's NPI number?

The NPI number for Second Nature Blue Ridge Carolina is 1124301676. It was assigned to this organization in the NPPES registry on September 21, 2011.

Where is Second Nature Blue Ridge Carolina located?

Second Nature Blue Ridge Carolina is located at 16 Swiss Village Road, Otto, NC 28763. The listed phone number is (706) 212-2037.

What is Second Nature Blue Ridge Carolina's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Second Nature Blue Ridge Carolina was last updated on September 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.