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Organization
FREE WILL BAPTIST CHILDRENS HOME, INC.
Active
Organization
FREE WILL BAPTIST CHILDRENS HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY W LEE (PRESIDENT/CEO)
(252) 235-2161
Entity
Organization
Contact information
Practice address
7907 BUCK DEANS ROAD, MIDDLESEX, NC 27557
(252) 235-2161
(252) 235-2625
Mailing address
PO BOX 249, MIDDLESEX, NC 27557-0249
(252) 235-2161
(252) 235-2625
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
B00358
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005069
—
NC
Enumeration date
01/05/2007
Last updated
02/12/2013
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