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Organization
PRIMARY HEALTH CHOICE, INC.
Active
Organization
PRIMARY HEALTH CHOICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAD DAVIS (CHIEF EXECUTIVE OFFICER)
(910) 865-3500
Entity
Organization
Contact information
Practice address
2950 W BROAD ST, ELIZABETHTOWN, NC 28337-7137
(910) 862-3040
Mailing address
PO BOX 159, SAINT PAULS, NC 28384-0159
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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