Organization
WILSON PROFESSIONAL SERVICES TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY KILGORE (CEO)
(208) 283-7792
Entity
Organization
Contact information
Practice address
2503 N QUEEN ST, KINSTON, NC 28501-1632
(208) 283-7792
Mailing address
5001 SPRING VALLEY ROAD, SUITE 600 EAST, DALLAS, TX 75244
(208) 283-7792
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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