Organization
WOODBRIDGE ALTERNATIVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON A TOWNSEND (BILLING ACCOUNTS MANAGER)
(910) 580-2898
Entity
Organization
Contact information
Practice address
225 S MAIN ST, RAEFORD, NC 28376-3203
(910) 878-0351
(910) 878-0362
Mailing address
225 S MAIN ST, RAEFORD, NC 28376-3203
(910) 878-0351
(910) 878-0362
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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