Organization
CARTER CLINIC, PA
Active
Organization
CARTER CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYLEME OJINA HARRISON (CEO)
(919) 848-0132
Entity
Organization
Contact information
Practice address
703 W 3RD AVE BLDG A, RED SPRINGS, NC 28377-1524
(910) 491-2352
(910) 491-2383
Mailing address
PO BOX 99778, RALEIGH, NC 27624-9778
(919) 848-0132
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
01/18/2019
Last updated
12/03/2019
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