Organization
CABIN VILLAGE AND ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON EDWARDS LCSW (OWNER)
(276) 728-6703
Entity
Organization
Contact information
Practice address
1151 W LEBANON ST STE 200, MOUNT AIRY, NC 27030-2225
(276) 728-6703
Mailing address
1015 ROCKFORD ST STE 200, MOUNT AIRY, NC 27030-5026
(276) 728-6703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
06/11/2022
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