Provider Demographics
NPI:1508751025
Name:ONTRACK WELLNESS AND RECOVERY CENTER
Entity type:Organization
Organization Name:ONTRACK WELLNESS AND RECOVERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:RASHEEDAH
Authorized Official - Last Name:HASAN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:910-624-6513
Mailing Address - Street 1:105 PRESTON AVE
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-3455
Mailing Address - Country:US
Mailing Address - Phone:910-624-6513
Mailing Address - Fax:
Practice Address - Street 1:5100 REAGAN DR STE 13
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28206-1390
Practice Address - Country:US
Practice Address - Phone:910-624-6513
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty