Organization
PALMER PREVENTION, INC.
Active
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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