Organization
ELEVENTH JUDICIAL DISTRICT REENTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOT C. EHLERS (EXECUTIVE DIRECTOR)
(919) 989-7278
Entity
Organization
Contact information
Practice address
1329 N BRIGHTLEAF BLVD, SUITE A-2, SMITHFIELD, NC 27577-7262
(919) 989-7278
(919) 989-8943
Mailing address
PO BOX 1153, SMITHFIELD, NC 27577-1153
(919) 989-7278
(919) 989-8943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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