Organization
CHEMICAL DEPENDENCE TRAINING EVALUA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CYNTHIA BEMIS (OWNER)
(910) 347-4477
Entity
Organization
Contact information
Practice address
230 NEW BRIDGE ST, JACKSONVILLE, NC 28540-4708
(910) 347-4477
Mailing address
230 NEW BRIDGE ST, JACKSONVILLE, NC 28540-4708
(910) 352-5288
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205666336
—
NC
Enumeration date
04/07/2025
Last updated
04/07/2025
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