Organization
SOUTHEASTERN RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMISON HOFFMAN (DIRECTOR OF OPERATIONS)
(404) 771-9863
Entity
Organization
Contact information
Practice address
1018 LEE ANN DR, CONCORD, NC 28025-9504
(404) 771-9863
Mailing address
1018 LEE ANN DR NE, CONCORD, NC 28025-2911
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/20/2023
Last updated
07/28/2025
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