| Eleventh Judicial District Reentry, Inc. | |
|
1329 N Brightleaf Blvd Suite A-2 Smithfield NC 27577-7262 | |
| (919) 989-7278 | |
| (919) 989-8943 |
| Full Name | Eleventh Judicial District Reentry, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1329 N Brightleaf Blvd, Smithfield, North Carolina |
| Authorized Official Name and Position | Dot C. Ehlers (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9199897278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eleventh Judicial District Reentry, Inc. Po Box 1153 Smithfield NC 27577-1153 Ph: (919) 989-7278 | Eleventh Judicial District Reentry, Inc. 1329 N Brightleaf Blvd Suite A-2 Smithfield NC 27577-7262 Ph: (919) 989-7278 |
| NPI Number | 1881727709 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881727709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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