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Organization
MALACHI BEHAVIORAL HEALTHCARE,INC
Active
Organization
MALACHI BEHAVIORAL HEALTHCARE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNETTE MONIQUE GRAY (OWNER)
(910) 353-7600
Entity
Organization
Contact information
Practice address
200 VALENCIA DR, SUITE 102&103, JACKSONVILLE, NC 28546-6311
(910) 353-7600
(910) 353-7603
Mailing address
200 VALENCIA DR, SUITE 102&103, JACKSONVILLE, NC 28546-6311
(910) 353-7600
(910) 353-7603
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
NC
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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