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Organization
SIERRA'S RESIDENTIAL SERVICES, INC.
Active
Organization
SIERRA'S RESIDENTIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTTIE JEFFERY VANHOOK MSW, LCSW (CLINICAL DIRECTOR)
(910) 814-4243
Entity
Organization
Contact information
Practice address
1995 US 421 N, LILLINGTON, NC 27546-7436
(910) 814-4243
(910) 814-4245
Mailing address
PO BOX 655, LILLINGTON, NC 27546-0655
(910) 814-4243
(910) 814-4245
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
C002092
NC
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
C002092
NC
Other
Enumeration date
09/28/2010
Last updated
09/30/2010
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