THRIVE ADDICTIONS SERVICES NPI 1053851865

NPI Information

THRIVE ADDICTIONS SERVICES is a rehabilitation and substance use disorder clinic center in Fayetteville, NC. THRIVE ADDICTIONS SERVICES NPI is 1053851865. The provider is registered as an organization entity type.

The provider's business location address is:

1611B OWEN DR
FAYETTEVILLE, NC
ZIP 28304-425
Phone: (910) 483-8500
Fax: (910) 483-5864

The provider's authorized official is Michael Robert Trout .
The authorized official title is Owner, Clinical Supervisor and has the following contact phone number (910) 483-8500.

The CLIA number assigned to this NPI record is 34D2128199 - other - outpatient substance abus with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2017 and was last updated on 2/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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