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200 Northview Plz North Wilkesboro NC 28659-3173 | |
| (336) 818-0607 | |
| (336) 838-0156 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 200 Northview Plz, North Wilkesboro, North Carolina |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6157169335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6183 Paseo Del Norte Ste 200 Carlsbad CA 92011-1155 Ph: (855) 259-2288 | 200 Northview Plz North Wilkesboro NC 28659-3173 Ph: (336) 818-0607 |
| NPI Number | 1518243872 |
|---|---|
| Provider Enumeration Date | 10/31/2011 |
| Last Update Date | 10/03/2024 |
| Certification Date | 10/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518243872 | NPI | - | NPPES |
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