| Organization Name: | CHATHAM RECOVERY |
| NPI Number: | 1043606064 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIC D MORSE (PROGRAM SPONSOR) |
| Mailing Address: | 1758 E 11th St Suite E Siler City |
| State: | NC US |
| Postal Code: | 273442845 |
| Phone Number: | 9196633303 |
| Fax Number: | 9196633305 |
| NPI Enumeration Date: | 04/07/2015 |
| NPI Last Update Date: | 04/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | MHL-019-065 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |