PROMISES12 LTD LLC NPI 1093226110

NPI Information

NPI: 1093226110
Provider Name: PROMISES12 LTD LLC

Doing Business As: ASSESSMENTS@PROMISES12

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
35 MEANS AVE SE
CONCORD, NC
ZIP 28025
Phone: (704) 786-1500
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PROMISES12 LTD LLC is a rehabilitation and substance use disorder clinic center in Concord, NC. PROMISES12 LTD LLC NPI is 1093226110. The provider is registered as an organization entity type.
The provider Is Doing Business As Assessments@promises12.

The provider's business location address is:

35 MEANS AVE SE
CONCORD, NC
ZIP 28025-563
Phone: (704) 786-1500
Fax: (704) 786-1501

The provider's authorized official is William Eric Ingram .
The authorized official title is President/owner and has the following contact phone number (704) 786-1500.

The enumeration date for this NPI number is 10/16/2017 and was last updated on 6/16/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	1146654	NORTH CAROLINA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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