Organization
QUALITY CONCEPT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERTHEL ANDERSON JR. (OWNER)
(919) 344-3216
Entity
Organization
Contact information
Practice address
1219 EMMAUS CHURCH ROAD, DUDLEY, NC 28333-2401
(919) 344-3216
(919) 658-8037
Mailing address
311 SE CENTER ST, MOUNT OLIVE, NC 28365-2401
(919) 344-3216
(919) 658-8037
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-096-106
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804684
—
NC
Enumeration date
05/09/2007
Last updated
08/22/2020
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