Organization
PALMER PREVENTION, INC.
Active
Other names
Palmer Drug Abuse Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS GRAHAM NORTON LCAS, CCS (EX. DIRECTOR)
(910) 522-0421
Entity
Organization
Contact information
Practice address
208 N. MAIN ST., PEMBROKE, NC 28372-3959
(910) 522-0421
(910) 522-1169
Mailing address
PO BOX 3959, PEMBROKE, NC 28372-3959
(910) 522-0421
(910) 522-1169
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
MHL-078-194
NC
251S00000X
Community/Behavioral Health Agency
MHL-078-194
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005554
—
NC
Enumeration date
07/17/2007
Last updated
12/04/2012
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