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Organization
SOLID ROCK FAMILY LIFE CENTER, LLC
Active
Organization
SOLID ROCK FAMILY LIFE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLISTINE SIMMONS (CHIEF EXECUTIVE OFFICER)
(252) 287-3562
Entity
Organization
Contact information
Practice address
140 W WASHINGTON ST STE 108, SUFFOLK, VA 23434-5254
(757) 539-0315
(757) 539-0317
Mailing address
123 E TELLIE LAWRENCE RD, MURFREESBORO, NC 27855-9720
(252) 287-8713
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
NULL
Other
Enumeration date
10/09/2019
Last updated
01/19/2023
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