Healthcare Provider Details
I. General information
NPI: 1326557596
Provider Name (Legal Business Name): MORSE CLINIC OF DUNN, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/20/2017
Last Update Date: 08/29/2022
Certification Date: 08/29/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
596 E JACKSON BLVD UNIT B
ERWIN NC
28339-9629
US
IV. Provider business mailing address
8300 HEALTH PARK STE 201
RALEIGH NC
27615-4731
US
V. Phone/Fax
- Phone: 910-897-2008
- Fax: 910-897-2009
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0405X |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM2800X |
| Taxonomy | Methadone Clinic |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ERIC
DALTON
MORSE
Title or Position: CEO
Credential: MD
Phone: 919-673-9681