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Organization
THE REFUGE: MENTAL HEALTH CENTER, INC.
Active
Organization
THE REFUGE: MENTAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WENDELL D'ALTON WELLS IV (CEO)
(704) 288-3543
Entity
Organization
Contact information
Practice address
303 E VIEW ST, WADESBORO, NC 28170-2807
(704) 288-3543
Mailing address
PO BOX 61237, RALEIGH, NC 27661-1237
(910) 895-2400
(910) 895-2409
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
MHL-077-042
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418135
—
NC
05
—
6603179
—
NC
05
—
8300931
—
NC
05
—
8300932
—
NC
Enumeration date
09/20/2006
Last updated
07/11/2016
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