Healthcare Provider Details

I. General information

NPI: 1821906462
Provider Name (Legal Business Name): CAROLINA RECOVERY CENTER DBA A NEW HOPE FOR ADDICTION AND RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 ORCHARD LAKE DR UNIT D
CHARLOTTE NC
28270-1475
US

IV. Provider business mailing address

1421 ORCHARD LAKE DR UNIT D
CHARLOTTE NC
28270-1475
US

V. Phone/Fax

Practice location:
  • Phone: 470-469-7393
  • Fax:
Mailing address:
  • Phone: 470-469-7393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. KELSEY R TROMBETTA
Title or Position: CHIEF COMPLIANCE OFFICE
Credential:
Phone: 470-469-7393