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Organization
OVERSIGHT COMMUNITY SERVICES
Active
Organization
OVERSIGHT COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY ANN JOHNSON (CEO/ADMINISTRATIVE DIRECTOR)
(910) 728-4564
Entity
Organization
Contact information
Practice address
2543 RAVENHILL DR, SUITE E, FAYETTEVILLE, NC 28303-9618
(910) 728-4564
(910) 223-0255
Mailing address
2543 RAVENHILL DR, SUITE E, FAYETTEVILLE, NC 28303-9618
(910) 728-4564
(910) 223-0255
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4273
NC
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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