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Organization

PROJECT MOMENTUM, INC

Active
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Organization

PROJECT MOMENTUM, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MYSHA WYNN (EXECUTIVE DIRECTOR)
(252) 977-0765
Entity
Organization

Contact information

Practice address
107 SE MAIN STREET, ROCKY MOUNT, NC 27801-5400
(252) 977-0765
(252) 977-0765
Mailing address
P.O. BOX 4053, ROCKY MOUNT, NC 27803-0053
(252) 977-0765
(252) 977-0765

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—

Other

Enumeration date
10/13/2010
Last updated
10/13/2010
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