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Organization
REACHING YOUR GOALS
Active
Organization
REACHING YOUR GOALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LOWE (CONTROLLER)
(919) 896-7602
Entity
Organization
Contact information
Practice address
4441 BRAGG BLVD, SUITE C, FAYETTEVILLE, NC 28303-3862
(919) 896-7602
Mailing address
1230 KENT RD, RALEIGH, NC 27606-1977
(919) 896-7602
(919) 896-7605
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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