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Organization
HHDM, INC.
Active
Organization
HHDM, INC.
Active
Other names
Johnston Recovery Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER HOWARD DAVISON (PROGRAM DIRECTOR)
(919) 359-1699
Entity
Organization
Contact information
Practice address
1699 OLD US 70 HWY W, CLAYTON, NC 27520-6566
(919) 359-1699
(919) 359-1697
Mailing address
1699 OLD US HIGHWAY 70 WEST, CLAYTON, NC 27520
(919) 359-1699
(919) 359-1697
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
MHL051177
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NC
Enumeration date
05/10/2010
Last updated
12/11/2019
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