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Organization
A GREATER POWER WITH INN
Active
Organization
A GREATER POWER WITH INN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WILHELMENIA DEBRO (OWNER)
(252) 459-8777
Entity
Organization
Contact information
Practice address
3784 OLD COUNTY HOME RD, NASHVILLE, NC 27856-8992
(252) 459-8777
Mailing address
3784 OLD COUNTY HOME RD, NASHVILLE, NC 27856-8992
(252) 459-8777
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-064-094
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
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Other
Enumeration date
10/24/2008
Last updated
12/08/2008
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