Organization
ADDICTION RECOVERY MEDICAL SERVICES SUBSTANCE ABUSE FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY KEARNEY R.N. (PRACTICE ADMINISTRATOR)
(704) 872-0234
Entity
Organization
Contact information
Practice address
536 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625-4391
(704) 872-0234
(704) 818-1115
Mailing address
536 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625-4391
(704) 872-0234
(704) 818-1115
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
9300179
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89132YE
—
NC
Enumeration date
08/05/2016
Last updated
08/05/2016
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