Organization
ANUVIA PREVENTION AND RECOVERY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY SNIDER (EXECUTIVE DIRECTOR)
(704) 376-7447
Entity
Organization
Contact information
Practice address
3205 FREEDOM DR, CHARLOTTE, NC 28208-2866
(704) 376-7447
(704) 376-3384
Mailing address
100 BILLINGSLEY RD, CHARLOTTE, NC 28211-1002
(704) 376-7447
(704) 376-3384
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MHL-060-1079
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
MHL-060-1079
NC
101YM0800X
Mental Health Counselor
Primary
MHL-060-1079
NC
251S00000X
Community/Behavioral Health Agency
MHL-060-1079
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005408
—
NC
05
—
8300345
—
NC
Enumeration date
12/31/2014
Last updated
05/10/2017
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