Healthcare Provider Details

I. General information

NPI: 1013969922
Provider Name (Legal Business Name): ADDICTION RECOVERY CARE ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5755 SHATTALON DR
WINSTON SALEM NC
27105-1332
US

IV. Provider business mailing address

5755 SHATTALON DR
WINSTON SALEM NC
27105-1332
US

V. Phone/Fax

Practice location:
  • Phone: 336-784-9470
  • Fax: 336-784-9505
Mailing address:
  • Phone: 336-784-9470
  • Fax: 336-784-9505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License NumberMHL 034004
License Number StateNC

VIII. Authorized Official

Name: MS. KAREN TAYLOR HOLDEN
Title or Position: CEO
Credential: MPA
Phone: 336-784-9470