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3709 Nash Street Obot Room #100 Wilson NC 27896-1127 | |
| (252) 206-5799 | |
| (252) 206-5778 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 3709 Nash Street, Wilson, North Carolina |
| Authorized Official Name and Position | Jay Higham (CEO) |
| Authorized Official Contact | 2143656112 |
| 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 75244-3946 Ph: (214) 365-6100 | 3709 Nash Street Obot Room #100 Wilson NC 27896-1127 Ph: (252) 206-5799 |
| NPI Number | 1770299711 |
|---|---|
| Provider Enumeration Date | 01/24/2023 |
| Last Update Date | 12/23/2024 |
| Certification Date | 12/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770299711 | NPI | - | NPPES |
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