Spirit of Excellence Community Outreach, INC
NPI #1508291683 in Jacksonville, North Carolina
Provider Information
- NPI Number
- 1508291683
- Entity Type
- Organization
- Organization Name
- Spirit of Excellence Community Outreach, INC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Sep 9, 2013
- Last Updated
- Sep 10, 2013
Practice Location
- Address
- 510 CRISSY DR
- City
- Jacksonville
- State
- North Carolina
- ZIP Code
- 28540-9183
- Phone
- (910) 219-0459
Authorized Official
- Name
- MISS CHANTE GISELLE HINES
- Title
- OFFICE MANAGER
- Phone
- (910) 265-0304
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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