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Organization
WE ARE ALL CONNECTED
Active
Organization
WE ARE ALL CONNECTED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD TYRONE JENKINS (EXECUTIVE DIRECTOR)
(252) 862-4400
Entity
Organization
Contact information
Practice address
110 MITCHELL ST N, AHOSKIE, NC 27910-3030
(252) 862-4400
(252) 862-4401
Mailing address
110 MITCHELL ST N, AHOSKIE, NC 27910-3030
(252) 862-4400
(252) 862-4401
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
13125
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301680
—
NC
Enumeration date
02/06/2007
Last updated
11/28/2007
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