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Organization

ALCOHOL AND DRUG SERVICES GUILFORD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RON C. RAU JR. MBA (EXECUTIVE DIRECTOR)
(336) 812-8645
Entity
Organization

Contact information

Practice address
5209 W WENDOVER AVE, HIGH POINT, NC 27265-9177
(336) 812-8645
(336) 812-9019
Mailing address
5209 W WENDOVER AVE, HIGH POINT, NC 27265-9177
(336) 812-8645
(336) 812-9019

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
MHL-041-139
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8301011
NC
Enumeration date
09/26/2006
Last updated
08/22/2020
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