Organization
CAROLINA 1ST CHOICE TREATMENT FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SOUTHERLAND (CEO/EXECUTIVE)
(910) 723-9103
Entity
Organization
Contact information
Practice address
4003 FAYETTEVILLE RD, RAEFORD, NC 28376-8058
(910) 723-9103
Mailing address
635 VASS RD, RAEFORD, NC 28376-8412
(910) 723-9103
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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