OrganizationActive
Performance Recovery Inc
NPI 1871901074 · Children's Substance Abuse Rehabilitation Facility · Kernersville, NC
Provider details
- NPI number
- 1871901074
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Larry Coplin, Official(336) 423-8740
Specialties & taxonomies
Residential Treatment Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
6105 Habersham Dr
Kernersville, NC 27284-6317
Phone: (336) 423-8740
Approximate (ZIP-level) locationGet directions
Mailing address
6105 Habersham Dr
Kernersville, NC 27284-6317
Registry dates
- Enumerated
- 2014-07-31
- Last updated
- 2014-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.