Organization · Type 2 NPI
Executive Addictions
Substance Abuse Rehabilitation Facility · Conover, NC
NPI number
1548639594
Active
Practice location
3451 Graystone Pl SE
Conover, NC 28613-8200
Fax (828) 465-6222
Mailing address
PO Box 939
Conover, NC 28613-0939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: 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.
Another provider at this address
About NPI 1548639594
Executive Addictions's National Provider Identifier is 1548639594, issued on Sep 21, 2015. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Conover, NC. The record was last updated on Sep 21, 2015.