Organization
ASSOCIATED HEALTHCARE OF OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES RUSSELL WILSON JR. (PRESIDENT)
(910) 391-6996
Entity
Organization
Contact information
Practice address
51 RED ROBIN DR, DUNN, NC 28334-6781
(910) 391-6996
Mailing address
PO BOX 696, DUNN, NC 28335-0696
(910) 391-6996
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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