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Organization
OLIVER ENTERPRISE
Active
Organization
OLIVER ENTERPRISE
Active
Other names
progressive behavioral services
Organization subpart
No
Provider details
NPI number
Authorized official
LISA OLIVER (CEO/MANAGER)
(252) 321-4934
Entity
Organization
Contact information
Practice address
806 SOUTH TARBORO STREET, STE B1, WILSON, NC 27893
(252) 321-4934
(252) 493-7166
Mailing address
PO BOX 20482, GREENVILLE, NC 27858-0482
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL098152
NC
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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