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Organization
VISION'S ADOLESCENCE COMMUNITY SUPPORT
Active
Organization
VISION'S ADOLESCENCE COMMUNITY SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY LAMONT HOPKINS B.S.,Q.P. (QUALIFIED PROFESSIONAL, OWNER)
(336) 342-1136
Entity
Organization
Contact information
Practice address
1060 N SCALES ST, REIDSVILLE, NC 27320-2224
(336) 342-1136
(336) 342-1196
Mailing address
1060 N SCALES ST, REIDSVILLE, NC 27320-2224
(336) 342-1136
(336) 342-1196
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Enumeration date
02/15/2007
Last updated
09/04/2007
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