Organization
PETERKIN & ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE COLEY (BILLING SUPERVISOR)
(910) 483-0734
Entity
Organization
Contact information
Practice address
203 N WILLIAM ST, GOLDSBORO, NC 27530-3757
(910) 483-0734
Mailing address
111 LAMON ST, STE 202, FAYETTEVILLE, NC 28301-4957
(910) 483-0734
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NC
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
NC
Other
Enumeration date
03/28/2007
Last updated
09/11/2025
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