Organization
ALCOHOL AND DRUG SERVICES OF GUILFORD
Active
Other names
ADS-Hickory
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON C. RAU JR. MBA (EXECUTIVE DIRECTOR)
(336) 812-8645
Entity
Organization
Contact information
Practice address
1055 13TH ST SE, HICKORY, NC 28602-4165
(828) 449-1020
(336) 443-1030
Mailing address
1055 13TH ST SE, HICKORY, NC 28602-4165
(828) 449-1020
(336) 443-1030
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-018-073
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005606
—
NC
05
—
8301010
—
NC
05
—
8301010B
—
NC
05
—
8301010G
—
NC
05
—
8301010Q
—
NC
Enumeration date
02/01/2007
Last updated
08/22/2020
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