OrganizationActive
Midwood Addiction Treatment, LLC
NPI 1568941672 · Substance Use Disorder Rehabilitation Clinic/Center · Matthews, NC
Provider details
- NPI number
- 1568941672
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Emily Connolly, Director of Revenue(954) 857-4976
- License
- MHL-060-1367 (NC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3057 Senna Dr
Matthews, NC 28105-6727
Phone: (701) 625-2828
Street-level locationGet directions
Mailing address
Po Box 2882
West Palm Beach, FL 33402-2882
Registry dates
- Enumerated
- 2018-08-09
- Last updated
- 2025-01-17
- Certified
- 2025-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.