A Legacy Fafilled
A Legacy Fafilled is an Addiction (Substance Use Disorder) Counselor in Greensboro, North Carolina. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
3712 Mizell Rd Apt FGreensboro, NC 27405-4717
Phone: (336) 383-7414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1285027839 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Raymond Horne — Owner · (336) 383-7414 |
| NPI enumerated | March 6, 2015 |
| Last updated in NPPES | March 6, 2015 |
| Mailing address | 3712 Mizell Rd Apt F, Greensboro, NC 27405-4717 |
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