Supreme Teens, L&c
NPI #1689934077 in Enfield, North Carolina
Provider Information
- NPI Number
- 1689934077
- Entity Type
- Organization
- Organization Name
- Supreme Teens, L&c
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- May 21, 2012
- Last Updated
- May 21, 2012
Practice Location
- Address
- 14495 HWY 301 N.
- City
- Enfield
- State
- North Carolina
- ZIP Code
- 27823
- Phone
- (252) 467-3407
Authorized Official
- Name
- TREVATHAN MARQUETTE EL
- Title
- DIRECTOR/COORDINATOR
- Phone
- (252) 467-3407
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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