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Organization
ORCAXP
Active
Organization
ORCAXP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICO DARIUS WILLIAMS (OWNER)
(704) 453-7680
Entity
Organization
Contact information
Practice address
898 BULLOCKSVILLE PARK RD, MANSON, NC 27553-9760
(704) 453-7680
Mailing address
898 BULLOCKSVILLE PARK RD, MANSON, NC 27553-9760
(704) 453-7680
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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