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Organization
RESTART INC. ROCKY MT
Active
Organization
RESTART INC. ROCKY MT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS MITCHELL (CEO)
(252) 355-4725
Entity
Organization
Contact information
Practice address
301 S CHURCH ST, ROCKY MOUNT, NC 27804-5755
(252) 442-1359
Mailing address
2602 COURTIER DR, GREENVILLE, NC 27834-7818
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8301850
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301850
—
NC
Enumeration date
06/10/2009
Last updated
06/10/2009
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