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Organization
ACHEVING EXCELLENCE
Active
Organization
ACHEVING EXCELLENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN LAMAR DELOACH (CEO)
(910) 512-6760
Entity
Organization
Contact information
Practice address
1226 RAMSEY ST, FAYETTEVILLE, NC 28301-4402
(910) 512-6760
Mailing address
6111 CONAWAY DR, FAYETTEVILLE, NC 28314-2700
(910) 512-6760
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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