Organization
VISIONS II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY LAMONT HOPKINS B.S.,Q.P. (QUALIFIED PROFESSIONAL OWNER)
(336) 348-6939
Entity
Organization
Contact information
Practice address
611 W HARRISON ST, REIDSVILLE, NC 27320-4621
(336) 348-6939
Mailing address
611 W HARRISON ST, REIDSVILLE, NC 27320-4621
(336) 348-6939
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-079-085
NC
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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