Organization
JACKSONVILLE TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACY MELISSA HAMM J.D. (SPONSOR)
(919) 656-1633
Entity
Organization
Contact information
Practice address
291 HUFF DR, JACKSONVILLE, NC 28546-7370
(910) 347-2205
(910) 347-2216
Mailing address
1112 SILVER OAKS CT, RALEIGH, NC 27614-9359
(919) 656-1633
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-067-166
NC
261QM2800X
Methadone Clinic
MHL-067-166
NC
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
MHL-067-166
NC
Other
Enumeration date
03/03/2017
Last updated
02/09/2026
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