MIDWOOD ADDICTION TREATMENT LLC NPI 1609381771

NPI Information

NPI: 1609381771
Provider Name: MIDWOOD ADDICTION TREATMENT, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
3057 SENNA DR
MATTHEWS, NC
ZIP 28105
Phone: (704) 625-2828
Get Directions

MIDWOOD ADDICTION TREATMENT, LLC is a substance abuse rehabilitation facility in Matthews, 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. MIDWOOD ADDICTION TREATMENT, LLC NPI is 1609381771. The provider is registered as an organization entity type.

The provider's business location address is:

3057 SENNA DR
MATTHEWS, NC
ZIP 28105-727
Phone: (704) 625-2828

The provider's authorized official is William Nevadomski .
The authorized official title is Owner and has the following contact phone number (704) 625-2828.

The enumeration date for this NPI number is 12/11/2017 and was last updated on 3/16/2023.

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	251S00000X	Community/Behavioral Health				No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	MHL-060-1367	NORTH CAROLINA	No
3	324500000X	Substance Abuse Rehabilitation Facility		MHL-060-1367	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »