Organization
CRESWELL REHAB AND WELLNESS S CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDIA LUWANDELL WILLIAMS (OWNER)
(919) 750-3735
Entity
Organization
Contact information
Practice address
109 E MAIN ST, CRESWELL, NC 27928-8003
(919) 750-3735
Mailing address
PO BOX 128, CRESWELL, NC 27928-0128
(919) 750-3735
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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