Organization · NPI-2
Addiction Treatment Recovery And Education
Nurse Practitioner, Primary Care · Charlotte, NC
NPI number1134723794
StatusActive
Last updated in NPPESJun 5, 2025
Details
- NPI
- 1134723794
- Entity type
- Organization (NPI-2)
- Legal business name
- Addiction Treatment Recovery And Education
- Organization subpart
- No
- Enumeration date
- Nov 24, 2020
- Certification date
- Jun 5, 2025
- Last updated
- Jun 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | – | – | Yes |
| 261QP2300X | Clinic/Center, Primary Care | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – |
Practice location
5500 Executive Center Dr Ste 132Charlotte, NC 28212-8821
Phone 980-207-1003
Mailing address
5500 Executive Center Dr Ste 132Charlotte, NC 28212-8821
Phone 980-207-1003 · Fax 980-498-1634
Authorized official
Arlette Owens-Mosley
Provider
9802071003
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