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Organization

ST. MARK'S MANOR INC

Active
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Organization

ST. MARK'S MANOR INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PRISCILLA C PETTY (ADMINISTRATOR)
(919) 363-5311
Entity
Organization

Contact information

Practice address
3733 HERITAGE MEADOW LANE, HOLLY SPRINGS, NC 27540
(919) 363-5311
(919) 363-5312
Mailing address
PO BOX 1057, HOLLY SPRINGS, NC 27540-1057
(919) 363-5311

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHL-092-399
NC

Other

Enumeration date
01/05/2007
Last updated
08/22/2020
About Stedi
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