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Organization
ROLL'N 2 SUCCESS
Active
Organization
ROLL'N 2 SUCCESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD GARRY ODEN JR. (OWNER)
(919) 824-9506
Entity
Organization
Contact information
Practice address
106 JACKSON ST NE, A, WILSON, NC 27893-3810
(919) 824-9506
Mailing address
1621 BEACON VILLAGE DR, RALEIGH, NC 27604-8505
(919) 824-9506
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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