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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