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1506 Market St Wilmington NC 28401-4871 | |
| (910) 254-4065 | |
| (910) 254-4067 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1506 Market St, Wilmington, North Carolina |
| Authorized Official Name and Position | Laney B Harrill (PRESIDENT/CEO) |
| Authorized Official Contact | 9103681928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1506 Market St Wilmington NC 28401-4871 Ph: (910) 254-4065 | 1506 Market St Wilmington NC 28401-4871 Ph: (910) 254-4065 |
| NPI Number | 1215179221 |
|---|---|
| Provider Enumeration Date | 04/06/2009 |
| Last Update Date | 07/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215179221 | NPI | - | NPPES |
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