Susie's Place for Community Support
NPI #1538309182 in Mebane, North Carolina
Provider Information
- NPI Number
- 1538309182
- Entity Type
- Organization
- Organization Name
- Susie's Place for Community Support
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 23, 2009
- Last Updated
- Feb 23, 2009
Practice Location
- Address
- 1101 S FIFTH ST
- City
- Mebane
- State
- North Carolina
- ZIP Code
- 27302-9182
- Phone
- (336) 380-0772
Authorized Official
- Name
- MR. LORENZO MOORE
- Title
- MANAGING EMPLOYEE
- Phone
- (336) 380-0772
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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