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Organization
P R HEALTH SERVICES OF NC
Active
Organization
P R HEALTH SERVICES OF NC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AVIS REGINA MITCHELL BSW,MA,QP,CDAC (SUBSTANCE ABUSE COUNSELOR)
(919) 348-7784
Entity
Organization
Contact information
Practice address
3208 SUNSET AVE STE C, ROCKY MOUNT, NC 27804-3590
(919) 348-7784
Mailing address
3208 SUNSET AVE STE C, ROCKY MOUNT, NC 27804-3590
(919) 348-7784
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
Other
Enumeration date
11/14/2022
Last updated
01/17/2023
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