Pavana Treatment Group, P.C.

LBN: Pavana Treatment Group, P.C.
Pavana Treatment Group, P.C. is an health care organization with primary practice located at 1038 X Ray Dr , Gastonia NC 28054-7488. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Pavana Treatment Group, P.C. can be contacted via phone (704) 490-4993, or through Blocker, Melissa via phone (864) 800-3223.

Contact Information

Primary practice address
1038 X Ray Dr Gastonia NC 28054-7488
Phone: (704) 490-4993
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blocker, Melissa
Phone: (864) 800-3223

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1043849896
LBN Legal business name Pavana Treatment Group, P.C.
DBA Doing business as
Authorized official Blocker, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2020
Last updated Jun 3rd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043849896 NPPES
North Carolina MEDICAID 1043849896

Popular Providers