Success Dynamics Community Development Corporation
NPI #1215114715 in Farmville, North Carolina
Provider Information
- NPI Number
- 1215114715
- Entity Type
- Organization
- Organization Name
- Success Dynamics Community Development Corporation
- Primary Specialty
- Case Management
- Enumeration Date
- Jan 28, 2008
- Last Updated
- Jul 22, 2008
Practice Location
- Address
- 7227 STATONSBURG ROAD
- City
- Farmville
- State
- North Carolina
- ZIP Code
- 27828-0214
- Phone
- (252) 753-7815
Authorized Official
- Name
- DR. CALVIN O. ELLISON, N.D., PHD
- Title
- EXECUTIVE DIRECTOR
- Phone
- (252) 753-7815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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