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Organization
WILSON PROFESSIONAL SERVICES TREATMENT CENTER
Active
Organization
WILSON PROFESSIONAL SERVICES TREATMENT CENTER
Active
Other names
Wilson Professional Services Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAY HIGHAM (CEO)
(214) 365-6112
Entity
Organization
Contact information
Practice address
3709 NASH ST NW, WILSON, NC 27896-1127
(252) 206-5799
(252) 206-5778
Mailing address
5001 SPRING VALLEY ROAD, SUITE 600 EAST, DALLAS, TX 75244-3946
(214) 365-6100
(214) 365-6150
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-098-190
NC
251S00000X
Community/Behavioral Health Agency
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/21/2014
Last updated
12/26/2024
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