Achievement Center Enrichment

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

ACHIEVEMENT CENTER ENRICHMENT

Practice address

6605 E Marshville Blvd
Marshville, NC 28103-1199

Phone

(336) 587-2931

NPI assigned

Oct 6, 2021

Last updated

Oct 6, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ron Flack Jr., PHD

Title

Owner

Phone

(336) 587-2931

Specialties & licenses 1

Addresses

Other names 1

• ACE-OTP Other name

Tax ID family

Ace-Otp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Achievement Center Enrichment

  • Addiction (Substance Use Disorder) Counselor
  • Marshville, NC
  • NPI 1639840341
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1548922735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 E MARSHVILLE BLVD",
            "city": "MARSHVILLE",
            "state": "NC",
            "postal_code": "281031199",
            "telephone_number": "336-587-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 E MARSHVILLE BLVD",
            "city": "MARSHVILLE",
            "state": "NC",
            "postal_code": "281031199",
            "telephone_number": "336-587-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVEMENT CENTER ENRICHMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "FLACK",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-587-2931",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACE-OTP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Achievement Center Enrichment
• Melissa Adkins
• Americare Ehalth (Marsville Health Center)
• Anderson Behavioral Health, Inc (Anderson Health Services)
• Arihant Pharmacy, LLC (Marshville Pharmacy & Surgical Supply)

• Substance Use Disorder Rehabilitation Clinic/Center in Marshville, NC
• Providers in Marshville, NC by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.