Organization
GREEN HILL RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J EULAN JOHNSON III (CEO)
(828) 228-6148
Entity
Organization
Contact information
Practice address
6124 SAINT GILES ST, RALEIGH, NC 27612-7042
(984) 204-1106
Mailing address
6112 SAINT GILES ST, RALEIGH, NC 27612-7043
(984) 204-8076
(984) 204-8076
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2017
Last updated
10/23/2024
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