Organization
NC RESIDENTIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTOINE J PRYOR (PRESIDENT)
(336) 253-0318
Entity
Organization
Contact information
Practice address
3314 WILITON WAY, HIGH POINT, NC 27260-5983
(336) 510-7464
(336) 510-7985
Mailing address
PO BOX 446, JAMESTOWN, NC 27282-0446
(336) 510-7464
(336) 510-7985
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/15/2009
Last updated
02/15/2009
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