Organization
EXECUTIVE ADDICTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHLEEN C HANSEN (OWNER)
(828) 261-0467
Entity
Organization
Contact information
Practice address
3451 GRAYSTONE PL SE, CONOVER, NC 28613-8200
(828) 261-0467
(828) 465-6222
Mailing address
PO BOX 939, CONOVER, NC 28613-0939
(828) 261-0467
(828) 465-6222
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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