# RAINTREE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124172499
- **Authorized official:** DR. JOHN D.A. VAUGHN PH.D. (PRESIDENT)
- **Authorized official phone:** (910) 323-2875

## Contact information

- **Practice address:** 804 STAMPER RD, SUITE 101, FAYETTEVILLE, NC 28303-4379
- **Practice address phone:** (910) 323-2875
- **Practice address fax:** (910) 323-1355
- **Mailing address:** 804 STAMPER RD, SUITE 101, FAYETTEVILLE, NC 28303-4379
- **Mailing address phone:** (910) 323-2875
- **Mailing address fax:** (910) 323-1355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 50018 | NC | Yes |
| 101YM0800X | Mental Health Counselor | MHL-026-176 | NC | — |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 09/11/2025
