| NPI | 1245892470 |
|---|---|
| Doing Business As | WALTER B. JONES WOODSIDE TREATMENT CENTER OTP |
| Entity Type | Organization |
| Authorized Contact | BEONCIA BROWN Compliance Coordinator 919-855-4709 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2024-10-17 |