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Organization
UMBRELLA OF HOPE INC
Active
Organization
UMBRELLA OF HOPE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PRECIOUS TANYANIKA LAJOY JACKSON MA,LPC (CEO)
(704) 747-6545
Entity
Organization
Contact information
Practice address
1558 UNION RD STE F, GASTONIA, NC 28054-2215
(704) 747-6545
(704) 671-4036
Mailing address
1558 UNION RD STE F, GASTONIA, NC 28054-2215
(704) 747-6545
(704) 671-4036
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7563
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104514
—
NC
Enumeration date
09/25/2012
Last updated
04/18/2018
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