Synergy Recovery

LBN: Synergy Recovery
Synergy Recovery is an health care organization with primary practice located at 118 Peace St , North Wilkesboro NC 28659-4519. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Synergy Recovery can be contacted via phone (336) 667-7191, or through Spake, Carl Yates via phone (336) 667-7191.

Contact Information

Primary practice address
118 Peace St North Wilkesboro NC 28659-4519
Fax: (336) 667-6859
Website:
Authorized official contact:
Name: Spake, Carl Yates MA,CCS,CSAC

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X MHL097003 North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL-097-003 North Carolina

Profile Details

NPI number 1922103787
LBN Legal business name Synergy Recovery
DBA Doing business as
Authorized official Spake, Carl Yates MA,CCS,CSAC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Sep 1st, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922103787 NPPES
North Carolina MEDICAID 8301254

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