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Organization
RESTORATIVE COMMUNITY SUPPORT SERVICES CO
Active
Organization
RESTORATIVE COMMUNITY SUPPORT SERVICES CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAELENE R DOBSON LCAS (CEO)
(252) 402-2781
Entity
Organization
Contact information
Practice address
320 N HARVEY ST, WASHINGTON, NC 27889-5030
(252) 402-2781
Mailing address
320 N HARVEY ST, WASHINGTON, NC 27889-5030
(252) 402-2781
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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