Organization
NEW WATERS RECOVERY NORTH CAROLINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN MCLENDON LCAS, LCMHC (EXECUTIVE DIRECTOR)
(561) 632-0120
Entity
Organization
Contact information
Practice address
3810 BLAND RD, RALEIGH, NC 27609-6239
(561) 632-0120
Mailing address
3810 BLAND RD, RALEIGH, NC 27609-6239
(561) 632-0120
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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