Organization
PAVILLON INTERNATIONAL OUTPATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE VANCE (CEO)
(828) 625-8210
Entity
Organization
Contact information
Practice address
801 W MILLS ST, COLUMBUS, NC 28722-8494
(828) 894-0293
(828) 894-0296
Mailing address
801 W MILLS ST, COLUMBUS, NC 28722-8494
(828) 894-0293
(828) 894-0296
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
MHL 075-018
NC
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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