Focused Addiction Recovery LLC

NPI #1114789666 in Wallace, North Carolina

Provider Information

NPI Number: 1114789666
Entity Type: Organization
Organization Name: Focused Addiction Recovery LLC
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Jan 29, 2024
Last Updated: Aug 30, 2024

Practice Location

Address: 102 W MAIN ST
City: Wallace
State: North Carolina
ZIP Code: 28466-2902
Phone: (910) 788-4242

Authorized Official

Name: CHARLES JACKSON
Title: CCO
Phone: (480) 520-7921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X
Psychologist - Counseling — Counseling	103TC1900X
Registered Nurse - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	163WA0400X
Family Medicine - Addiction Medicine — Addiction Medicine	207QA0401X
Internal Medicine - Addiction Medicine — Addiction Medicine	207RA0401X
Preventive Medicine - Addiction Medicine — Addiction Medicine	2083A0300X
Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health	363LP0808X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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