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Organization

RUTHS COVE

Active
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Organization

RUTHS COVE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DANITA DAVIS (QUALIFIED PROFESSIONAL)
(336) 342-3135
Entity
Organization

Contact information

Practice address
155 COOK FLORIST RD, REIDSVILLE, NC 27320-8650
(336) 342-3135
Mailing address
141 COOK FLORIST RD, REIDSVILLE, NC 27320-8650
(336) 342-3135

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL079122
NC
324500000X
Substance Abuse Rehabilitation Facility
347C00000X
Private Vehicle

Other

Enumeration date
06/08/2012
Last updated
06/08/2012
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