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Organization
CAROLINA 1ST CHOICE TREATMENT FACILITY
Active
Organization
CAROLINA 1ST CHOICE TREATMENT FACILITY
Active
Other names
Carolina 1st Choice Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SOUTHERLAND (CEO/EXECUTIVE DIRECTOR)
(910) 723-9103
Entity
Organization
Contact information
Practice address
4003 FAYETTEVILLE RD, RAEFORD, NC 28376-8058
(910) 723-9103
Mailing address
635 VASS RD, RAEFORD, NC 28376-8412
(910) 723-9103
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
—
NULL
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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