Organization
PAVILLON OUTPATIENT SERVICES
Active
Parent organization
PAVILLON INTERNATIONAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAVILLON INTERNATIONAL
Authorized official
SEAN FITZPATRICK (FINANCIAL ACCOUNTANT)
(828) 694-2300
Entity
Organization
Contact information
Practice address
115 PAVILLON PLACE, MILL SPRING, NC 28756
(828) 694-2300
(866) 990-3066
Mailing address
115 PAVILLON PLACE, MILL SPRING, NC 28756
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265512834
MEDICAL DIRECTOR
NC
Enumeration date
07/17/2023
Last updated
07/17/2023
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