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Organization
QUALITY OF LIFE RESOURCE AND REFERRAL LLC
Active
Organization
QUALITY OF LIFE RESOURCE AND REFERRAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HAMPTON-DIXON (AGENCY DIRECTOR)
(252) 341-1764
Entity
Organization
Contact information
Practice address
601 COUNTRY CLUB DR STE B, GREENVILLE, NC 27834-6124
(252) 341-1764
(252) 379-0428
Mailing address
4213 DUBLIN RD, WINTERVILLE, NC 28590-6809
(252) 341-1764
(252) 379-0428
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253J00000X
Foster Care Agency
—
—
343800000X
Secured Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CADC-21211
SUBSTANCE ABUSE COUNSELOR INTERN
NC
Enumeration date
10/26/2023
Last updated
02/01/2024
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