Organization
FOCUS
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WESLEY THOMAS III CSAC (CEO/PRESIDENT)
(704) 923-8005
Entity
Organization
Contact information
Practice address
1104 APRILIA LN, DALLAS, NC 28034-9382
(704) 923-8005
Mailing address
1104 APRILIA LN, DALLAS, NC 28034-9382
(704) 923-8005
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSAC 1911
NC
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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