Organization
CAROLINA 1ST CHOICE TREATMENT FACILITY
Active
Other names
Carolina 1st Choice Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SOUTHERLAND (CEO/EXECUTIVE DIRECTOR)
(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
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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