Redesigning Life of N.c.,ll

NPI #1366729048 in Wilson, North Carolina

Provider Information

NPI Number
1366729048
Entity Type
Organization
Organization Name
Redesigning Life of N.c.,ll
Subpart
Yes (part of a larger organization)
Parent Organization
HARVEST CARE OF N.C., LLC
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
Nov 9, 2011
Last Updated
Nov 9, 2011

Practice Location

Address
806 TARBORO ST W
Address 2
SUITE A
City
Wilson
ZIP Code
27893-4771
Phone
(252) 363-4122

Authorized Official

Name
CHANDRA REVIS PEGUES
Title
DIRECTOR/OWNER
Phone
(252) 363-4122

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health

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