# CARTER CLINIC, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184214249
- **Authorized official:** DR. MYLEME OJINGA HARRISON MD (OWNER/CEO)
- **Authorized official phone:** (919) 423-0267

## Contact information

- **Practice address:** 224 BREWSTER DR, FAYETTEVILLE, NC 28303-1906
- **Practice address phone:** (910) 867-0148
- **Mailing address:** PO BOX 99778, RALEIGH, NC 27624-9778
- **Mailing address phone:** (919) 423-0267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/22/2021
- **Last updated:** 01/22/2021