Organization
ADDICTIONCARE 101
Active
Parent organization
ADDICTIONCARE 101
Other names
A101
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADDICTIONCARE 101
Authorized official
WILLIAM BEASLEY (CHIEF OPERATING OFFICE)
(910) 791-6767
Entity
Organization
Contact information
Practice address
311 4 E JUDGES ROAD, WILMINGTON, NC 28405
(910) 791-6767
(910) 399-2190
Mailing address
311 4 E JUDGES ROAD, WILMINGTON, NC 28405
(910) 791-6767
(910) 399-2190
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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