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Organization
THE JOHN OLIVER CENTER
Active
Organization
THE JOHN OLIVER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN H OLIVER JR. (EXECUTIVE DIRECTOR)
(919) 739-5859
Entity
Organization
Contact information
Practice address
312 E CHESTNUT ST, GOLDSBORO, NC 27530-4904
(919) 735-5453
(919) 735-9745
Mailing address
PO BOX 1504, GOLDSBORO, NC 27533-1504
(919) 739-5859
(919) 735-9745
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL096065
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603618
—
NC
Enumeration date
06/27/2007
Last updated
08/22/2020
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