Southeast Addiction Institute And Learning Center, Inc in Charlotte - Addiction (substance Use Disorder)
Southeast Addiction Institute And Learning Center, Inc - NPI 1679531461
Southeast Addiction Institute And Learning Center, Inc is a Addiction (substance Use Disorder) in Charlotte, North Carolina. Southeast Addiction Institute And Learning Center, Inc practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Southeast Addiction Institute And Learning Center, Inc is 1679531461. The last update date is 2020-08-22.
Southeast Addiction Institute And Learning Center, Inc's current location address is 5601 Executive Center Dr, Charlotte, North Carolina. You can contact this provider via phone number 7045610920 and fax number 7045610851. The mailing address for Southeast Addiction Institute And Learning Center, Inc is 5601 Executive Center Dr, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Addiction Institute And Learning Center, Inc |
|---|---|
| Address | 5601 Executive Center Dr, Charlotte, North Carolina |
| Phone Number | 7045610920 |
| Fax Number | 7045610851 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Austin Glenn Thomas |
| Credentials | CSAC, CCS |
| Telephone Number | 7045610920 |
NPI Number Detail
| NPI Number | 1679531461 |
|---|---|
| Provider Enumeration Date | 2006-05-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5601 Executive Center Dr |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282128841 |
| Phone Number | 7045610920 |
| Fax Number | 7045610851 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | MHL-060-587 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6005380 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Southeast Addiction Institute And Learning Center, Inc by the Centers for Medicare & Medicaid Services?
The Southeast Addiction Institute And Learning Center, Inc has been assigned the NPI (National Provider Identifier) 1679531461. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Southeast Addiction Institute And Learning Center, Inc located?
The Southeast Addiction Institute And Learning Center, Inc is located at 5601 Executive Center Dr, Charlotte, NC 282128841.
What is the area of specialization for Southeast Addiction Institute And Learning Center, Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Southeast Addiction Institute And Learning Center, Inc is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679531461 to Southeast Addiction Institute And Learning Center, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1679531461 to Southeast Addiction Institute And Learning Center, Inc on 2006-05-02.
As of what date were the Southeast Addiction Institute And Learning Center, Inc's details last updated?
The information pertaining to the Southeast Addiction Institute And Learning Center, Inc, including its address, specialty, and other details, was most recently updated on 2020-08-22.