Organization
WHITEVILLE MAT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRADY B. JEFFERYS JR. PH.D. (PRESIDENT)
(828) 173-1643
Entity
Organization
Contact information
Practice address
109 LESLIE NEWSOME AVE, WHITEVILLE, NC 28472-4937
(919) 889-5118
Mailing address
109 LESLIE NEWSOME AVE, WHITEVILLE, NC 28472-4937
(919) 889-5118
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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