Organization
MATCHBOX HEALTH SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN LONG (EXECUTIVE DIRECTOR)
(336) 322-0657
Entity
Organization
Contact information
Practice address
203 N MAIN ST STE 216, ROXBORO, NC 27573-5343
(336) 322-0657
(336) 322-0726
Mailing address
PO BOX 52660, DURHAM, NC 27717-2660
(919) 281-0153
(919) 281-0157
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/23/2008
Last updated
06/04/2019
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