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Organization
NEW HANOVER COUNTY JUVENILE DAY TREATMENT CENTER
Active
Organization
NEW HANOVER COUNTY JUVENILE DAY TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ANTHONY RANALLI (DIRECTOR)
(910) 798-6462
Entity
Organization
Contact information
Practice address
718 S 3RD ST, WILMINGTON, NC 28401-5124
(910) 798-6460
(910) 798-6481
Mailing address
718 S 3RD ST, WILMINGTON, NC 28401-5124
(910) 798-6460
(910) 798-6481
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-065-153
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301204G
—
NC
05
—
8301204R
—
NC
Enumeration date
03/26/2007
Last updated
08/22/2020
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