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312 South Academy Street, Suite D Obot Room #100 Ahoskie NC 27910-3200 | |
| (757) 848-3478 | |
| (252) 513-8548 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 312 South Academy Street, Suite D, Ahoskie, North Carolina |
| Authorized Official Name and Position | Zack Ragsdale (DIRECTOR) |
| Authorized Official Contact | 5124545911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5001 Spring Valley Road Suite 600 East Dallas TX 75244 Ph: (214) 365-6100 | 312 South Academy Street, Suite D Obot Room #100 Ahoskie NC 27910-3200 Ph: (757) 848-3478 |
| NPI Number | 1639884703 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639884703 | NPI | - | NPPES |
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