Organization
DIRECCARE BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO MCMILLIAN (OWNER/DIRECTOR)
(910) 738-1818
Entity
Organization
Contact information
Practice address
129 WEST BROAD ST., ELIZABETHTOWN, NC 28337-9005
(910) 872-0013
(910) 872-0019
Mailing address
P.O. BOX 1973, ELIZABETHTOWN, NC 28337-9005
(910) 872-0013
(910) 872-0019
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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