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1285027839
A LEGACY FAFILLED
GREENSBORO, NC
NPI
1285027839
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Entity Type
Organization
Authorized Contact
RAYMOND HORNE
Owner
336-383-7414
Organization Subpart ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-03-06
Last Update Date
2015-03-06
Business Address
A LEGACY FAFILLED
3712 MIZELL RD APT F
GREENSBORO, NC 27405-4717
Phone number: 336-383-7414
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Mailing Address
A LEGACY FAFILLED
3712 MIZELL RD APT F
GREENSBORO, NC 27405-4717
Phone number:
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