Executive Addictions
Organization Active NPI Substance Abuse Rehabilitation Facility · Conover, NC
NPI 1548639594 · NPPES record last updated Sep 21, 2015
Key facts
- NPI
- 1548639594
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- EXECUTIVE ADDICTIONS
- Practice address
- 3451 Graystone PL SE
Conover, NC 28613-8200 - Phone
- (828) 261-0467
- Fax
- (828) 465-6222
- NPI assigned
- Sep 21, 2015
- Organization subpart
- No
Authorized official
- Name
- Cathleen C Hansen
- Title
- Owner
- Phone
- (828) 261-0467
Practitioners 1
-
Girish N Makwana, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
3451 Graystone PL SE
Conover, NC 28613-8200
Mailing address
PO Box 939
Conover, NC 28613-0939
Phone (828) 261-0467
Other providers in Conover, NC
- Easter Seals Ucp North Carolina & Virginia
- Neil Eckard
- Abdalla M Elhalawany
- Espiritu Clinic PLLC
- Maria Carmen Edaugal Espiritu
- Family Healthcare Practice PLLC
- Family Matters Counseling Services PLLC
- Dwight Melvin Fitzgerald
- Kelly Anne Fonville
- Gaston Family Health Services Inc
All providers in Conover, NC · Substance Abuse Rehabilitation Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.