Provider Demographics
NPI:1184803181
Name:ESTHER RECOVERY CENTER
Entity type:Organization
Organization Name:ESTHER RECOVERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:OLIVIA
Authorized Official - Last Name:REAVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-484-1400
Mailing Address - Street 1:5317 HIGHGATE DR
Mailing Address - Street 2:SUITE 212
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-6622
Mailing Address - Country:US
Mailing Address - Phone:919-484-1400
Mailing Address - Fax:919-484-1400
Practice Address - Street 1:5317 HIGHGATE DR
Practice Address - Street 2:SUITE 212
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6622
Practice Address - Country:US
Practice Address - Phone:919-484-1400
Practice Address - Fax:919-484-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable