| Whiteville Mat Services, Inc. | |
|
109 Leslie Newsome Ave Whiteville NC 28472-4937 | |
| (919) 889-5118 | |
| Not Available |
| Full Name | Whiteville Mat Services, Inc. |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 109 Leslie Newsome Ave, Whiteville, North Carolina |
| Authorized Official Name and Position | Grady B. Jefferys (PRESIDENT) |
| Authorized Official Contact | 8281731643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whiteville Mat Services, Inc. 109 Leslie Newsome Ave Whiteville NC 28472-4937 Ph: (919) 889-5118 | Whiteville Mat Services, Inc. 109 Leslie Newsome Ave Whiteville NC 28472-4937 Ph: (919) 889-5118 |
| NPI Number | 1740868744 |
|---|---|
| Provider Enumeration Date | 03/31/2021 |
| Last Update Date | 03/31/2021 |
| Certification Date | 03/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740868744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Primary |
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