Organization
BETHESDA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. E GLENN GREENE LICENSED CLINICAL AD (DIRECTOR)
(910) 944-7700
Entity
Organization
Contact information
Practice address
204 NORTH PINE STREET, ABERDEEN, NC 28315-2732
(910) 944-7700
(910) 944-7099
Mailing address
204 NORTH PINE STREET, ABERDEEN, NC 28315-2732
(910) 944-7700
(910) 944-7099
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
MHL 063002
NC
Other
Enumeration date
11/01/2006
Last updated
09/21/2011
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