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Organization
VISIONQUEST NONPROFIT CORP
Active
Organization
VISIONQUEST NONPROFIT CORP
Active
Other names
VisionQuest LodgeMakers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETH ANN ROSICA PHD (VICE PRESIDENT)
(610) 486-2280
Entity
Organization
Contact information
Practice address
3101 GUESS RD STE D, DURHAM, NC 27705-2678
(919) 794-3814
(919) 530-1895
Mailing address
150 E PENNSYLVANIA AVE, SUITE 430, DOWNINGTOWN, PA 19335-2632
(610) 486-2280
(610) 269-0519
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL 032-513
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302933
—
NC
Enumeration date
10/14/2009
Last updated
05/20/2014
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