| Randolph Juvenile Day Reporting Center | |
|
1520 N Fayetteville St Asheboro NC 27203-3894 | |
| (336) 683-8228 | |
| (336) 683-8217 |
| Full Name | Randolph Juvenile Day Reporting Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1520 N Fayetteville St, Asheboro, North Carolina |
| Authorized Official Name and Position | John Thurman Morrissett (MANAGER) |
| Authorized Official Contact | 3366838228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph Juvenile Day Reporting Center 1520 N Fayetteville St Asheboro NC 27203-3894 Ph: (336) 683-8228 | Randolph Juvenile Day Reporting Center 1520 N Fayetteville St Asheboro NC 27203-3894 Ph: (336) 683-8228 |
| NPI Number | 1811058803 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811058803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-076-030 (North Carolina) | Primary |
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