| Johnston Recovery Services | |
|
1699 Old Us 70 Hwy W Clayton NC 27520-6566 | |
| (919) 359-1699 | |
| (919) 359-1697 |
| Full Name | Johnston Recovery Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1699 Old Us 70 Hwy W, Clayton, North Carolina |
| Authorized Official Name and Position | Jennifer H. Davison (PROGRAM DIRECTOR) |
| Authorized Official Contact | 9193591699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnston Recovery Services 1699 Old Us 70 Hwy W Clayton NC 27520-6566 Ph: (919) 359-1699 | Johnston Recovery Services 1699 Old Us 70 Hwy W Clayton NC 27520-6566 Ph: (919) 359-1699 |
| NPI Number | 1679877054 |
|---|---|
| Provider Enumeration Date | 12/29/2010 |
| Last Update Date | 12/11/2019 |
| Certification Date | 12/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679877054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL051177 (North Carolina) | Primary |
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