Organization
CARTER CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYLEME HARRISON (PRESIDENT)
(919) 848-0132
Entity
Organization
Contact information
Practice address
235 KINLAW RD, FAYETTEVILLE, NC 28311-1431
(919) 848-0132
Mailing address
PO BOX 99778, RALEIGH, NC 27624-9778
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N/A
—
NC
Enumeration date
09/30/2013
Last updated
09/30/2013
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