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Organization

DARKHORSE INCORPARTED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LILLIAN PAULINE BUTLER (OWNER)
(704) 694-2232
Entity
Organization

Contact information

Practice address
123 E MARTIN ST STE 200, WADESBORO, NC 28170-2216
(704) 694-2232
(704) 694-3522
Mailing address
123 EAST MARTIN STREET SUITE 200, WADESBORO, NC 28170

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
04/07/2009
Last updated
04/07/2009
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