# ADDICTIONCARE 101

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADDICTIONCARE 101
- **Other names:** A101
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447725098
- **Legal business name:** ADDICTIONCARE 101
- **Authorized official:** WILLIAM BEASLEY (CHIEF OPERATING OFFICE)
- **Authorized official phone:** (910) 791-6767

## Contact information

- **Practice address:** 311 4 E JUDGES ROAD, WILMINGTON, NC 28405
- **Practice address phone:** (910) 791-6767
- **Practice address fax:** (910) 399-2190
- **Mailing address:** 311 4 E JUDGES ROAD, WILMINGTON, NC 28405
- **Mailing address phone:** (910) 791-6767
- **Mailing address fax:** (910) 399-2190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2018
- **Last updated:** 10/10/2018