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Organization

NEXT LEVEL ADOLESCENT SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. WENTIERS ANTARIO LONDON (CO-OWNER)
(252) 636-1569
Entity
Organization

Contact information

Practice address
1107 HOLLOWAY ST, DURHAM, NC 27701-3852
(919) 683-6398
Mailing address
PO BOX 15123, NEW BERN, NC 28561-5123
(252) 636-1569

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
MHL032446
NC

Other

Enumeration date
06/16/2008
Last updated
06/16/2008
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