Mary Rebecca Home, Incorporated

NPI #1346472891 in Southern Pines, North Carolina

Provider Information

NPI Number
1346472891
Entity Type
Organization
Organization Name
Mary Rebecca Home, Incorporated
Primary Specialty
Community/Behavioral Health
Enumeration Date
Aug 18, 2009
Last Updated
Aug 18, 2009

Practice Location

Address
1200 W IOWA AVE
ZIP Code
28387-4418
Phone
(910) 692-2894

Authorized Official

Name
MS. ANNIE R. HASAN, M.ED., QMHP
Title
EXECUTIVE DIRECTOR
Phone
(910) 482-4453

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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