# CAROLINA 1ST CHOICE TREATMENT FACILITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carolina 1st Choice Treatment Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740797356
- **Authorized official:** ANGELA SOUTHERLAND (CEO/EXECUTIVE DIRECTOR)
- **Authorized official phone:** (910) 723-9103

## Contact information

- **Practice address:** 4003 FAYETTEVILLE RD, RAEFORD, NC 28376-8058
- **Practice address phone:** (910) 723-9103
- **Mailing address:** 635 VASS RD, RAEFORD, NC 28376-8412
- **Mailing address phone:** (910) 723-9103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LC1500X | Community Health Nurse Practitioner | — | NULL | Yes |
| 363LC1500X | Community Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/04/2018
- **Last updated:** 01/04/2018