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Organization

A NEW START SUPPORT SERVICES II, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ARLINDA KAY RODRIQUEZ B.A. (ADMINISTRATIVE DIRECTOR)
(919) 359-0669
Entity
Organization

Contact information

Practice address
11373 US BUSINESS 70 HWY WEST, CLAYTON, NC 27520-2208
(919) 359-0669
(919) 359-2171
Mailing address
11373 US BUSINESS 70 HWY WEST, CLAYTON, NC 27520-2208
(919) 359-0669
(919) 359-2171

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
989
NC
2084P0800X
Psychiatry Physician
2010-01241
NC
251S00000X
Community/Behavioral Health Agency
NC

Other

Enumeration date
08/05/2009
Last updated
03/28/2012
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