Organization
ANUVIA PREVENTION & RECOVERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY R SNIDER (EXECUTIVE DIRECTOR)
(980) 321-5370
Entity
Organization
Contact information
Practice address
5855 EXECUTIVE CENTER DR STE 104, CHARLOTTE, NC 28212-8821
(980) 321-5370
Mailing address
100 BILLINGSLEY RD, CHARLOTTE, NC 28211-1002
(704) 376-7447
(704) 376-2172
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MHL-060-1244
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
MHL-060-1244
NC
101YM0800X
Mental Health Counselor
Primary
MHL-060-1244
NC
251S00000X
Community/Behavioral Health Agency
MHL-060-1244
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00362
BLUE CROSS/BLUE SHIELD (BCBS)
NC
05
—
6005408
—
NC
05
—
8300345
—
NC
Enumeration date
07/19/2012
Last updated
12/31/2014
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