Active NPI
Choices for Recovery, LLC
- Adult Mental Health Clinic/Center
- Charlotte, NC
National Provider Identifier
1659745909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- CHOICES FOR RECOVERY, LLC
- Practice address
- 200 Queens Road
Suite 102
Charlotte, NC 28204 - Phone
- (704) 969-4182
- Fax
- (704) 365-4171
- NPI assigned
- Nov 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Burrell Crittendon Jr.
- Title
- Manager
- Phone
- (704) 969-4182
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
200 Queens Road
Suite 102
Charlotte, NC 28204
Mailing address
417C S. Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 969-4182
National Provider Directory
National Provider Directory- Tax ID family
- Choices for Recovery LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Point of Service
- Charlotte, NC
- NPI 1639624034
Locations
200 Queens Rd
Ste 102
Charlotte, NC 28204
Phone (704) 969-4182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1532908800000",
"number": "1659745909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417C S. SHARON AMITY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28211",
"telephone_number": "704-969-4182",
"fax_number": "704-365-4171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 QUEENS ROAD",
"address_2": "SUITE 102",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28204",
"telephone_number": "704-969-4182",
"fax_number": "704-365-4171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHOICES FOR RECOVERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-24",
"last_updated": "2018-07-30",
"status": "A",
"authorized_official_last_name": "CRITTENDON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "BURRELL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "704-969-4182",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.