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MOMENTUM RECOVERY LLC NPI 1750822847


NPI Information

NPI: 1750822847
Provider Name: MOMENTUM RECOVERY LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 34D2128194

Address:
5102 WRIGHTSVILLE AVE
WILMINGTON, NC
ZIP 28403
Phone: (719) 640-2599
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MOMENTUM RECOVERY LLC is a substance abuse rehabilitation facility in Wilmington, NC. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MOMENTUM RECOVERY LLC NPI is 1750822847. The provider is registered as an organization entity type.

The provider's business location address is:

5102 WRIGHTSVILLE AVE
WILMINGTON, NC
ZIP 28403-054
Phone: (719) 640-2599

The provider's authorized official is Rick Barney .
The authorized official title is Ceo/clincal Director and has the following contact phone number (828) 772-6121.

The CLIA number assigned to this NPI record is 34D2128194 - comprehensive outpatient rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2017 and was last updated on 3/5/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityMHL-065-257NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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