Organization
MYROVER-REESE FELLOWSHIP HOMES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM F FRYE SR. (GENERAL MANAGER)
(910) 486-8718
Entity
Organization
Contact information
Practice address
560 WILKES RD, FAYETTEVILLE, NC 28306-3038
(910) 486-8718
(910) 486-5976
Mailing address
PO BOX 64933, FAYETTEVILLE, NC 28306-0933
(910) 486-8718
(910) 486-5976
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MHL026005
NC
Other
Enumeration date
09/12/2006
Last updated
08/22/2020
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