Cisselsalternative
NPI #1508039140 in Raeford, North Carolina
Provider Information
- NPI Number
- 1508039140
- Entity Type
- Organization
- Organization Name
- Cisselsalternative
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Apr 3, 2008
- Last Updated
- Apr 8, 2008
Practice Location
- Address
- 126 DAVENPORT DR
- City
- Raeford
- State
- North Carolina
- ZIP Code
- 28376-5425
- Phone
- (910) 848-0216
Authorized Official
- Name
- MRS. MARION WILSON CISSEL, 12/07/46
- Title
- OWNER
- Phone
- (910) 848-0216
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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