Organization
A POSITIVE CHANGE
Active
Other names
A-P-C
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE JOSEPH (CEO)
(770) 742-1272
Entity
Organization
Contact information
Practice address
582 FARRINGDOM ST, LUMBERTON, NC 28358-2615
(910) 671-4142
(910) 401-1513
Mailing address
582 FARRINGDOM ST, LUMBERTON, NC 28358-2615
(910) 671-4142
(910) 401-1513
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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