Search › North Carolina › 101YA0400X
Archie Pender, LCAS-A
NPI 1790113454 · on the registry since 2013
Practice
- Address
- 3709 Nash St Nw
Wilson, NC 27896 - Phone
- (252) 206-5799
- Fax
- (252) 206-5778
- Organisation at this address
- Wilson Professional Services Treatment Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 1041C0700X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina