Healthcare Provider Details

I. General information

NPI: 1639573843
Provider Name (Legal Business Name): CHATHAM RECOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2014
Last Update Date: 08/29/2022
Certification Date: 08/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1758 E 11TH ST SUITE E
SILER CITY NC
27344-2845
US

IV. Provider business mailing address

8300 HEALTH PARK SUITE 201
RALEIGH NC
27615-4730
US

V. Phone/Fax

Practice location:
  • Phone: 919-676-9699
  • Fax: 919-676-9946
Mailing address:
  • Phone: 919-676-9699
  • Fax: 919-676-9946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License NumberNC99-01445
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC D MORSE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 919-676-9699