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Organization

MILESTONE RECOVERY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRACK JEFFERYS PH.D. (CONSULTANT)
(828) 273-1643
Entity
Organization

Contact information

Practice address
2001 WALNUT LN, MONROE, NC 28112-7333
(704) 207-6266
Mailing address
225 N MAIN ST # B, TROY, NC 27371-3061
(704) 207-6266

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
NC
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
NC

Other

Enumeration date
09/29/2015
Last updated
09/29/2015
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