Organization
CARTER CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYLEME OJINGA HARRISON MD (OWNER/CEO)
(919) 423-0267
Entity
Organization
Contact information
Practice address
224 BREWSTER DR, FAYETTEVILLE, NC 28303-1906
(910) 867-0148
Mailing address
PO BOX 99778, RALEIGH, NC 27624-9778
(919) 423-0267
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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