Daughter of Destiny Enterprises,llc
NPI #1215100854 in Plymouth, North Carolina
Provider Information
- NPI Number
- 1215100854
- Entity Type
- Organization
- Organization Name
- Daughter of Destiny Enterprises,llc
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 3, 2008
- Last Updated
- Apr 3, 2008
Practice Location
- Address
- 941 US HIGHWAY 64 E
- Address 2
- 1672 LONG RIDGE RD
- City
- Plymouth
- State
- North Carolina
- ZIP Code
- 27962-9216
- Phone
- (252) 661-1792
Authorized Official
- Name
- MS. JENNIFER HERLENE CARMACK
- Title
- CEO
- Phone
- (252) 661-1792
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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