Organization
MILLENNIAL SERVICES OF NC AT ROCKINGHAM
Active
Parent organization
MILLENNIAL SERVICES OF NC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLENNIAL SERVICES OF NC
Authorized official
DR. RONALD FLACK JR. MA, PHD, ICADC, NCAC (OWNER)
(336) 587-2931
Entity
Organization
Contact information
Practice address
510 S TIPTON PL, REIDSVILLE, NC 27320-3039
(336) 587-2931
Mailing address
1520 BOWMORE PL, MC LEANSVILLE, NC 27301-9248
(033) 658-7293
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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