Organization
ACHIEVEMENT CENTER ENRICHMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON FLACK JR. PHD (OWNER)
(336) 587-2931
Entity
Organization
Contact information
Practice address
6605 E MARSHVILLE BLVD, MARSHVILLE, NC 28103-1199
(336) 587-2931
Mailing address
6605 E MARSHVILLE BLVD, MARSHVILLE, NC 28103-1199
(336) 587-2931
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
09/22/2021
Last updated
09/28/2021
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