Wilson Professional Services Treatment Center

Organization Active NPI Methadone Clinic · Kinston, NC

NPI 1083569149 · NPPES record last updated Mar 3, 2026

Key facts

NPI
1083569149
Entity type
Organization (NPI type 2)
Primary specialty
Methadone Clinic 261QM2800X
Legal business name
WILSON PROFESSIONAL SERVICES TREATMENT CENTER
Practice address
2503 N Queen St
Kinston, NC 28501-1632
Phone
(208) 283-7792
NPI assigned
Mar 3, 2026
Organization subpart
No

Authorized official

Name
Anthony Kilgore
Title
Ceo
Phone
(208) 283-7792

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Wilson Professional Services Treatment Center (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Yes
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

2503 N Queen St
Kinston, NC 28501-1632

Mailing address

5001 Spring Valley Road
Suite 600 East
Dallas, TX 75244
Phone (208) 283-7792

Other providers in Kinston, NC

All providers in Kinston, NC · Methadone Clinic in North Carolina

Sources for this page

Verify at the official NPI Registry.