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Organization
OPEN DOOR MGMT AGENCY OF JACKSONVILLE
Active
Organization
OPEN DOOR MGMT AGENCY OF JACKSONVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELORES PERRY (OWNER)
(910) 577-4175
Entity
Organization
Contact information
Practice address
1675 HALLTOWN RD, JACKSONVILLE, NC 28546-4565
(910) 346-7513
(910) 346-9431
Mailing address
896 LYNCHBURG DR, JACKSONVILLE, NC 28546-6010
(910) 577-4175
(910) 455-7068
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/24/2007
Last updated
06/21/2018
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