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TPM ADDICTIVE AND BEHAVIORAL PSYCHOTHERAPY

Behavioral Health & Social Service Providers Counselor

Provider NPI: 1861033938

Organization Information:
Organization Name:  TPM ADDICTIVE AND BEHAVIORAL PSYCHOTHERAPY
Organization is not Subpart
Authorized Official:  KRIS  WILLIAMS-FALCON  OWNER AND CEO  910-248-9180

Practice Location:
373 PITTMAN GROVE CHURCH RD  RAEFORD, NC 28376-7935 US
Tel: 910-248-9180  Fax: 877-519-9597

Business Mailing Address:
373 PITTMAN GROVE CHURCH RD  RAEFORD, NC 28376-7935 US
Tel: 910-248-9180  Fax: 877-519-9597

NPI Information:
NPI: 1861033938
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101Y00000XBehavioral Health & Social Service Providers
Counselor
N101YM0800XBehavioral Health & Social Service Providers
Counselor
N101YP1600XBehavioral Health & Social Service Providers
Counselor
N251S00000XAgencies
Community/Behavioral Health
N261QM0801XAmbulatory Health Care Facilities
Clinic/Center
N261QM0850XAmbulatory Health Care Facilities
Clinic/Center
N261QM0855XAmbulatory Health Care Facilities
Clinic/Center
N261QR0405XAmbulatory Health Care Facilities
Clinic/Center
N324500000XResidential Treatment Facilities
Substance Abuse Rehabilitation Facility
N3245S0500XResidential Treatment Facilities
Substance Abuse Rehabilitation Facility
Y101YA0400XBehavioral Health & Social Service Providers
Counselor

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 101YA0400X

Type:

Classification:



Definition:



MEDICAL JOBS NC - Page 1

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