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Organization
PERFORMANCE RECOVERY, INC
Active
Organization
PERFORMANCE RECOVERY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY WENDELL COPLIN JR. LCAS (OWNER)
(336) 423-8740
Entity
Organization
Contact information
Practice address
6105 HABERSHAM DR, KERNERSVILLE, NC 27284-6317
(336) 423-8740
Mailing address
6105 HABERSHAM DR, KERNERSVILLE, NC 27284-6317
(336) 423-8740
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/24/2013
Last updated
08/24/2013
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