Organization
EHG OF NC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN JOHNSON (MEMBER)
(704) 450-2117
Entity
Organization
Contact information
Practice address
2106 S 17TH ST, WILMINGTON, NC 28401-7408
(704) 838-9222
Mailing address
4009 MASONBORO LOOP RD, WILMINGTON, NC 28409-3640
(704) 450-2117
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
04/24/2026
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