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MCLEOD ADDICTIVE DISEASE CENTER INC. NPI 1841477205


NPI Information

NPI: 1841477205
Provider Name: MCLEOD ADDICTIVE DISEASE CENTER, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 34D2079364

Address:
549 COX RD
GASTONIA, NC
ZIP 28054
Phone: (704) 865-1558
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MCLEOD ADDICTIVE DISEASE CENTER, INC. is a community behavioral health in Gastonia, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MCLEOD ADDICTIVE DISEASE CENTER, INC. NPI is 1841477205. The provider is registered as an organization entity type.

The provider's business location address is:

549 COX RD
GASTONIA, NC
ZIP 28054-628
Phone: (704) 865-1558
Fax: (704) 865-9908

The provider's authorized official is Mary Ward .
The authorized official title is President and has the following contact phone number (704) 332-9001.

The CLIA number assigned to this NPI record is 34D2079364 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2008 and was last updated on 10/4/2017.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderMHL-036-100NORTH CAROLINANo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderMHL036100NORTH CAROLINANo
3251S00000XCommunity/Behavioral HealthMHL-036-100NORTH 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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