SANDHILLS BEHAVIORAL CENTER INC
NPI 1629547252
Substance Abuse Rehabilitation Facility in Laurinburg, NC
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 34D2021247
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-14-2026
About SANDHILLS BEHAVIORAL CENTER INC
This page provides the complete NPI Profile along with additional information for Sandhills Behavioral Center Inc, a provider established in Laurinburg, North Carolina operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1629547252 assigned on November 2018. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Isaac L. Jackson (Ceo)
- NPI
- 1629547252 Verify this NPI
- Provider Name
- SANDHILLS BEHAVIORAL CENTER INC
- Entity Type
- Organization
- Location Address
- 124 E CRONLY ST LAURINBURG, NC 28352
- Location Phone
- (910) 361-4785
- Location Fax
- (910) 506-4171
- Mailing Address
- 721 GREEN ST RAEFORD, NC 28376
- Mailing Phone
- (910) 361-4785
- Mailing Fax
- (910) 506-4171
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-13-2018
- Last Update Date
- 11-13-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2021247
- Facility Type
- Physician Office
- Certificate Effective Date
- August 15, 2024
- Certificate Expiration Date
- August 14, 2026
- Laboratory Director
- JENNIFER M. MABRY
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Sandhills Behavioral Center Inc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629547252, enumerated as an "organization" on November 13, 2018.
The provider is located at 124 E CRONLY ST LAURINBURG, NC 28352 and the phone number is (910) 361-4785.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
