| P R Health Services Of Nc | |
|
3208 Sunset Ave Ste C Rocky Mount NC 27804-3590 | |
| (919) 348-7784 | |
| Not Available |
| Full Name | P R Health Services Of Nc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3208 Sunset Ave Ste C, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Avis Regina Mitchell (SUBSTANCE ABUSE COUNSELOR) |
| Authorized Official Contact | 9193487784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| P R Health Services Of Nc 3208 Sunset Ave Ste C Rocky Mount NC 27804-3590 Ph: (919) 348-7784 | P R Health Services Of Nc 3208 Sunset Ave Ste C Rocky Mount NC 27804-3590 Ph: (919) 348-7784 |
| NPI Number | 1366150906 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 01/17/2023 |
| Certification Date | 01/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366150906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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