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Organization
STRAIGHT WALK FAMILY SERVICES
Active
Organization
STRAIGHT WALK FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA LATIMER (EXECUTIVE DIRECTOR)
(252) 212-5524
Entity
Organization
Contact information
Practice address
505 SUNSET AVE, ROCKY MOUNT, NC 27804-5616
(252) 212-5524
Mailing address
505 SUNSET AVE, ROCKY MOUNT, NC 27804-5616
(252) 212-5524
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
02/23/2011
Last updated
01/21/2020
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