NPI | 1841057130 |
---|---|
Doing Business As | OPTIMACARE MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | REEMA OWENS Agent 704-763-6300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
103TP0016X Psychologist, Prescribing (Medical) | |
103TP2701X Psychologist, Group Psychotherapy | |
163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
164W00000X Licensed Practical Nurse | |
2083A0300X Preventive Medicine, Addiction Medicine | |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
251B00000X Case Management | |
251S00000X | |
332900000X Non-Pharmacy Dispensing Site | |
363AM0700X Physician Assistant, Medical | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2024-03-04 |
Last Update Date | 2024-03-04 |