Provider Demographics
NPI:1376912873
Name:BURKE COUNCIL ON ALCOHOLISM AND CHEMICAL DEPENDENCY, INC.
Entity Type:Organization
Organization Name:BURKE COUNCIL ON ALCOHOLISM AND CHEMICAL DEPENDENCY, INC.
Other - Org Name:BURKE RECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-433-1221
Mailing Address - Street 1:203 WHITE ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3417
Mailing Address - Country:US
Mailing Address - Phone:828-433-1221
Mailing Address - Fax:828-433-1287
Practice Address - Street 1:711 W UNION ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-4208
Practice Address - Country:US
Practice Address - Phone:828-475-1353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BURKE COUNCIL ON ALCOHOLISM AND CHEMICAL DEPENDENCY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-09-15
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty